Justine Sara Panicker, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04121400 Issued in NJ

Practice address

480 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2511

Phone

(973) 334-4343

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

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, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1710563275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRIARWOOD CT",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811040",
            "telephone_number": "973-590-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342511",
            "telephone_number": "973-334-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICKER",
        "first_name": "JUSTINE",
        "middle_name": "SARA",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04121400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurtured Pelvic Health & Wellness
• Daud Omary
• Jose M Ortiz
• Amanda Palmieri
• Nupur P Panchal, PHARMD
• Parsippany Transportation
• Parsippany-Troy Hills Township (Par Troy EMS)
• Piyush Patel
• Diana Suzanne Polk, D.D.S.
• Zinal G Rana, PT

• Pharmacist in Lake Hiawatha, NJ
• Providers in Lake Hiawatha, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.