Active NPI
Rouba Barkoudeh
- Pharmacist
- Basking Ridge, NJ
National Provider Identifier
1730744780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03997500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03997500 | NJ | MD | Pharmacist |
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
- Donna Marie Babyak, DMD
- Linda Bacino-Gamba, COTA
- Cynthia Balajadia, OTR/L
- Olivia Ayse Baldisserotto, F.N.P
- Kenneth Banasiak, DMD
- Francesca Barrett, MD MBA
- Basking Ridge Fire Company No. 1
- Basking Ridge Pediatric Dentistry, LLC
- Basking Ridge Pediatric Health Center
- Basking Ridge Physical Therapy, LLC
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.