Patrick J Frey

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI01852100 Issued in NJ

Practice address

80 South River St
Costco Pharmacy 231
Hackensack, NJ 09601-6954

Phone

(201) 487-9671

Fax

(201) 487-9675

NPI assigned

Oct 15, 2011

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1740565258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SOUTH RIVER ST",
            "address_2": "COSTCO PHARMACY 231",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016954",
            "telephone_number": "201-487-9671",
            "fax_number": "201-487-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SOUTH RIVER ST",
            "address_2": "COSTCO PHARMACY 231",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "096016954",
            "telephone_number": "201-487-9671",
            "fax_number": "201-487-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01852100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Evan Frazer, DO
• Frederick Scott Starr, MD PC
• Freedom Home Healthcare, Inc.
• Fresenius Medical Care Hackensack, LLC
• Aurelie R Frey, OTR CHT
• Jeffrey Dean Friedlander, MD
• Bruce Ira Friedman, MD
• Carol Ann Friedman, PH.D.
• Morris Samuel Friedman, DO
• Samuel H. Friedman, M.D., F.A.C.C.

• Pharmacist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.