Tarick Ali, PHARMD
Individual provider Active NPI Pharmacist · Wayne, NJ
NPI 1669039657 · NPPES record last updated May 24, 2019
Key facts
- NPI
- 1669039657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02951300 (NJ)
- Practice address
- 190 French Hill Rd
Wayne, NJ 07470-3932 - Phone
- (718) 440-5216
- NPI assigned
- May 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02951300 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02951300 | NJ | Yes |
Addresses
Primary practice location
190 French Hill Rd
Wayne, NJ 07470-3932
Mailing address
190 French Hill Rd
Wayne, NJ 07470-3932
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.