Individual provider Active NPI

Rouba Barkoudeh

  • Pharmacist
  • Basking Ridge, NJ
National Provider Identifier
1730744780
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03997500 Issued in NJ
Practice address
75 Highland Ave
Basking Ridge, NJ 07920-2609
Phone
(908) 565-6245
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03997500 NJ Primary

Addresses

Primary practice location

75 Highland Ave
Basking Ridge, NJ 07920-2609

Mailing address

75 Highland Ave
Basking Ridge, NJ 07920-2609
Phone (908) 565-6245

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

State licenses

LicenseStateTypeSpecialty
28RI03997500NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1730744780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HIGHLAND AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202609",
            "telephone_number": "908-565-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HIGHLAND AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202609",
            "telephone_number": "908-565-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKOUDEH",
        "first_name": "ROUBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03997500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basking Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.