Mina Garas, R.PH.
Individual provider Active NPI Pharmacist · Fairview, NJ
NPI 1780077875 · NPPES record last updated Mar 12, 2015
Key facts
- NPI
- 1780077875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03663100 (NJ)
- Practice address
- 374 Park Ave
Fairview, NJ 07022-1114 - Phone
- (201) 496-7213
- NPI assigned
- Mar 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03663100 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03663100 | NJ | Yes |
Addresses
Primary practice location
374 Park Ave
Fairview, NJ 07022-1114
Mailing address
374 Park Ave
Fairview, NJ 07022-1114
Phone (201) 496-7213
Other providers in Fairview, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.