Mario Enzo Principato, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02943300 Issued in NJ

Practice address

621 W Edgar Rd
Linden, NJ 07036-3203

Phone

(908) 474-9775

Fax

(908) 474-9775

NPI assigned

Jul 12, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1679885271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BIRCHWOOD RD",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W EDGAR RD",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070363203",
            "telephone_number": "908-474-9775",
            "fax_number": "908-474-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCIPATO",
        "first_name": "MARIO",
        "middle_name": "ENZO",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02943300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.