Jose Devassy Pullockaran, R.PH.,PH.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02492300 Issued in NJ

Practice address

249 University Ave
Room 104
Newark, NJ 07102-1808

Phone

(973) 353-5201

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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 Philosophy, Registered Pharmacist

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.

• Rutgers Newark Campus Pharmacy

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1336240910
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689799892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 SHREWSBURY CT",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345418",
            "telephone_number": "609-737-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 UNIVERSITY AVE",
            "address_2": "ROOM 104",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021808",
            "telephone_number": "973-353-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLOCKARAN",
        "first_name": "JOSE",
        "middle_name": "DEVASSY",
        "name_prefix": "Dr.",
        "credential": "R.PH.,PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02492300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychora Behavioral Health PC
• Psychwings Therapy LLC
• Kacey Pugliese, DNP, AGPCNP-BC, CNOR
• Natasha Elaine Pujols, DO
• Yashwitha Sai Pulakurthi, MD
• Maheswari Pulluru
• Pulmonary & Critical Care Associates
• Dante Puntiel
• Pura Vida Family Psychotherapy LLC
• Lori Purcell

• Pharmacist in Newark, NJ
• Providers in Newark, 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 8, 2007; 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.