Icare Pharmacy

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

28RS00731500 Issued in NJ

Legal business name

ICARE PHARMACY

Practice address

194 Broad St Ste B
Bloomfield, NJ 07003-2606

Phone

(973) 429-0444

Fax

(973) 429-0440

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Samir Tammous, R. PH.

Title

Pharmacy in Charger

Phone

(973) 429-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed A Abuassi, PHARMD

  • Pharmacist
  • Bloomfield, NJ
  • NPI 1518798537
  NPD
• Nicole Manfria, RPH, PHARMD

  • Pharmacotherapy Pharmacist
  • Bloomfield, NJ
  • NPI 1043970072
  NPD (past)

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1720401722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BROAD ST STE B",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032606",
            "telephone_number": "973-429-0444",
            "fax_number": "973-429-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BROAD ST STE B",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032606",
            "telephone_number": "973-429-0444",
            "fax_number": "973-429-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "TAMMOUS",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PHARMACY IN CHARGER",
        "authorized_official_telephone_number": "973-429-0444",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00731500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT NUMBER",
            "identifier": "28RS00731500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Human First Therapy
• Ferdinand Iannaccone, D.O.
• Ayman M Ibrahim, D.O.
• Demiana Ibrahim
• Liza Ibrahim, LPC
• Immedicenter Bloomfield
• Amanda Eve Immerblum, MS, FNP-BC
• Wanda E Ince
• Anthony C Ingenito, MD
• Julio Iniguez, LMFT

• Specialty Pharmacy in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Specialty Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.