Nicholas Fontanella, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03794900 Issued in NJ

Practice address

470 Route 36
Highlands, NJ 07732-1315

Phone

(732) 872-1051

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Reactive Properties, LLC

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Freehold, NJ
  • NPI 1295421089
  NPD (past) Authorized official

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1669075313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 ROUTE 36",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321315",
            "telephone_number": "732-872-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 ROUTE 36",
            "city": "HIGHLANDS",
            "state": "NJ",
            "postal_code": "077321315",
            "telephone_number": "732-872-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANELLA",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03794900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx01214@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "CVS Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "470 Route 36",
            "city": "Highlands",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077321315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Ann Cherry, R.N.,R.N.F.A.,CNOR
• Cara Church, PH.D.
• Elizabeth Ege, PT, DPT
• Teresa M Fealy-Duffy, FNP-BC
• Barbara A Fisher
• Amy Gallagher, MA,CCC-SLP
• Caroline Marie Gelderblom, MT-BC
• Amy Goerl, BCBA
• Nicole Greene, LPC, LCADC
• Henry Hudson Regional School

• Pharmacist in Highlands, NJ
• Providers in Highlands, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.