Sowadauth, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

4873 Issued in NJ

Legal business name

SOWADAUTH, INC.

Doing business as

Rock Ridge Pharmacy

Practice address

191 Rock Rd
Glen Rock, NJ 07452-1706

Phone

(201) 444-4190

Fax

(201) 444-2698

NPI assigned

Jan 9, 2007

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew H. Kopacki, R.PH.NPI 1700155769

Title

President

Phone

(201) 444-4190

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rock Ridge Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew H Kopacki, R.PH.

  • Pharmacist
  • Glen Rock, NJ
  • NPI 1700155769
  Authorized official Same address or phone

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1710036975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "address_2": "191 ROCK ROAD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074520605",
            "telephone_number": "201-444-4190",
            "fax_number": "201-444-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521706",
            "telephone_number": "201-444-4190",
            "fax_number": "201-444-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOWADAUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "KOPACKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-4190",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "4873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6239609",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Ridge Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenica Aleyna Siniscalco, LCSW
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• Cassie Spector, LCSW
• Spectrum for Living Development, Inc.
• Spectrum for Living Development, Inc.

• Pharmacy in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.