Organization Active NPI

Total Health Care, Inc

  • Pharmacist
  • Cliffside Park, NJ
National Provider Identifier
1679554075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RS00537500 Issued in NJ
Legal business name
TOTAL HEALTH CARE, INC
Practice address
781 Palisade Ave
Cliffside Park, NJ 07010-3203
Phone
(201) 886-2400
Fax
(201) 886-0059
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dong-Hyun Yang, RPHNPI 1730161530
Title
Owner
Phone
(201) 886-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 28RS00537500 NJ Primary

Addresses

Primary practice location

781 Palisade Ave
Cliffside Park, NJ 07010-3203

Mailing address

781 Palisade Ave
Cliffside Park, NJ 07010-3203
Phone (201) 886-2400

Other identifiers 2

IdentifierTypeStateIssuer
3138535OtherNJNCPDP NUMBER
7121601MedicaidNJ

Other names 1

  • Evergreen Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

781 Palisade Ave
Cliffside Pk, NJ 07010
Phone (201) 886-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679554075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 PALISADE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103203",
            "telephone_number": "201-886-2400",
            "fax_number": "201-886-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 PALISADE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103203",
            "telephone_number": "201-886-2400",
            "fax_number": "201-886-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "DONG-HYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-886-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00537500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3138535",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7121601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.