Organization Active NPI

Little Falls Medcare

Doing business as little falls pharmacy

  • Pharmacist
  • Little Falls, NJ
National Provider Identifier
1730487125
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RS00711000 Issued in NJ
Legal business name
LITTLE FALLS MEDCARE
Doing business as
little falls pharmacy
Practice address
75 Newark Pompton Tpke
Little Falls, NJ 07424-1107
Phone
(973) 638-1561
Fax
(973) 638-1566
NPI assigned
Mar 9, 2011
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mr. Vincenzo Polise, R.PH.
Title
R.PH. in Charge
Phone
(702) 561-5628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RS00711000 NJ Primary

Addresses

Primary practice location

75 Newark Pompton Tpke
Little Falls, NJ 07424-1107

Mailing address

75 Newark Pompton Tpke
Little Falls, NJ 07424-1107
Phone (973) 638-1561

Other identifiers 1

IdentifierTypeStateIssuer
28RS00711000OtherNJPHARMACY LICENSE NUMBER

Other names 1

  • little falls pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1730487125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NEWARK POMPTON TPKE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241107",
            "telephone_number": "973-638-1561",
            "fax_number": "973-638-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NEWARK POMPTON TPKE",
            "city": "LITTLE FALLS",
            "state": "NJ",
            "postal_code": "074241107",
            "telephone_number": "973-638-1561",
            "fax_number": "973-638-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE FALLS MEDCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "POLISE",
        "authorized_official_first_name": "VINCENZO",
        "authorized_official_title_or_position": "R.PH. IN CHARGE",
        "authorized_official_telephone_number": "702-561-5628",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00711000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "28RS00711000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "little falls pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.