Active NPI
John Ghaly, RPH
- Pharmacist
- Randolph, NJ
National Provider Identifier
1699276915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03675400
- Practice address
- 124 Route 10
Randolph, NJ 07869-2415 - Phone
- (973) 442-4020
- Fax
- (973) 442-4678
- NPI assigned
- Feb 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03675400 | NJ | Primary |
Addresses
Primary practice location
124 Route 10
Randolph, NJ 07869-2415
Mailing address
124 Route 10
Randolph, NJ 07869-2415
Phone (973) 442-4020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03675400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jre Ave Maria LLC | Current | Accepting new patients | |
| Jea Ava Maria LLC | Current | Accepting new patients |
Locations
124 State Route 10
Randolph, NJ 07869
Phone (973) 361-8990
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1699276915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 ROUTE 10",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692415",
"telephone_number": "973-442-4020",
"fax_number": "973-442-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 ROUTE 10",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692415",
"telephone_number": "973-442-4020",
"fax_number": "973-442-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHALY",
"first_name": "JOHN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03675400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randolph, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.