Pardis Pournazari, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03712200 Issued in NJ

Practice address

48 Union Ave
Cresskill, NJ 07626-2125

Phone

(201) 567-2235

Fax

(201) 567-1881

NPI assigned

Feb 27, 2017

Sex

Female

Sole proprietor

No

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

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Parkview Pharmacy LLC

  • Community/Retail Pharmacy
  • Teaneck, NJ
  • NPI 1700557816
  NPD Authorized official
• Sejal Medic Inc.

  • Pharmacy
  • Cresskill, NJ
  • NPI 1740291095
  NPD (past)

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1750821518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PARSELLS CT",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242915",
            "telephone_number": "917-547-9223",
            "fax_number": "201-567-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 UNION AVE",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262125",
            "telephone_number": "201-567-2235",
            "fax_number": "201-567-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURNAZARI",
        "first_name": "PARDIS",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03712200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyeoyoung Park
• Dimple Patel, OD
• Shannon Marie Pavas, LCSW
• Vidya Pingale, OTR
• Kiara A Polanco, LMHC, LPC
• Professional Occupational & Physical Therapy, PLLC
• Reboot Podiatry LLC
• Karen Reisner, DDS
• Relo Birth LLC
• Doron Ringler, DMD, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.