Active NPI
Nicholas Palladino, RPH, CIP
- Pharmacist
- Whiting, NJ
National Provider Identifier
1659690147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01569500
- Practice address
- 400 Lacey Rd
Whiting, NJ 08759-1325 - Phone
- (732) 716-1787
- NPI assigned
- May 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01569500 | NJ | Primary |
Addresses
Primary practice location
400 Lacey Rd
Whiting, NJ 08759-1325
Mailing address
400 Lacey Rd
Whiting, NJ 08759-1325
Phone (732) 716-1787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01569500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stop and Shop Supermarket Co LLC | Past | Accepting new patients | |
| The Stop & Shop Supermarket Company LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kinnelon, NJ
- NPI 1932570363
-
- Community/Retail Pharmacy
- Whiting, NJ
- NPI 1972728343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1659690147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LACEY RD",
"city": "WHITING",
"state": "NJ",
"postal_code": "087591325",
"telephone_number": "732-716-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LACEY RD",
"city": "WHITING",
"state": "NJ",
"postal_code": "087591325",
"telephone_number": "732-716-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLADINO",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"credential": "RPH, CIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-23",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01569500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiting, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.