Nicholas Carmine Todaro

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04216200 Issued in NJ

Practice address

40 Park Ave Ste 5
Park Ridge, NJ 07656-1455

Phone

(201) 554-2200

Fax

(201) 554-2300

NPI assigned

Feb 23, 2022

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blooming Health LLC

  dba Park Ridge Pharmacy

  • Long Term Care Pharmacy
  • Park Ridge, NJ
  • NPI 1104596840
  NPD
• Blooming Health LLC

  dba Park Ridge Pharmacy

  • Community/Retail Pharmacy
  • Park Ridge, NJ
  • NPI 1194367987
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1659027175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PARK AVE",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PARK AVE STE 5",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561455",
            "telephone_number": "201-554-2200",
            "fax_number": "201-554-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODARO",
        "first_name": "NICHOLAS",
        "middle_name": "CARMINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04216200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Rose Soranno
• Jaime Stine, M.S., BCBA
• Deirdre Tallman, OTR/L
• Tara B Nelsen, SLP, PC
• The Smile Stop LLC
• Eric Roy Von Der Lieth
• Erica Mihe Von Der Lieth, D.C.
• Sonia Vulakh, D.D.S
• Amgad Wassef, RPH, MBA
• Linda Dimauro Wells, DC DOCTOR OF CHIROPR

• Pharmacist in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.