Rose Pszonka, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03942300 Issued in NJ

Practice address

468 Lackawanna Ave
Woodland Park, NJ 07424-2953

Phone

(973) 768-0496

NPI assigned

Aug 24, 2018

Last updated

Sep 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1760963052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 LACKAWANNA AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242953",
            "telephone_number": "973-768-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 LACKAWANNA AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242953",
            "telephone_number": "973-768-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Debaun Ave",
            "address_purpose": "LOCATION",
            "city": "West Caldwell",
            "state": "NJ",
            "postal_code": "070067110",
            "country_code": "US",
            "telephone_number": "973-768-0496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PSZONKA",
        "first_name": "ROSE",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03942300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMMUNIZATION CERTIFICATION",
            "identifier": "28RJ07735",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLABORATIVE PRACTICE",
            "identifier": "28RC00013400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "28RI03942300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter F. Dipaolo, MD, PA
• Josafin Picarelli, DC
• Prestige of Woodland Park Amdc, LLC
• Primary Care Medical Practice, LLC
• Prompt Transportation Services LLC
• Susan Rae, M.D
• Pamela Ragaie
• Payal P. Ramakrishnan, OD
• Mannan Razzak, M.D.
• Nadia Mohsin Razzak, MD

• Pharmacist in Woodland Park, NJ
• Providers in Woodland Park, NJ by specialty
• Pharmacist in New Jersey

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