Active NPI
Justin Tchao
- Pharmacist
- Haledon, NJ
National Provider Identifier
1780277434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04151300
- Practice address
- 397 Haledon Ave # 102
Haledon, NJ 07508-1551 - Phone
- (862) 237-7222
- NPI assigned
- Feb 13, 2021
- Last updated
- Feb 13, 2021
- Sex
- Male
- 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 | 28RI04151300 | NJ | Primary |
Addresses
Primary practice location
397 Haledon Ave # 102
Haledon, NJ 07508-1551
Mailing address
18 Candice Way
East Hanover, NJ 07936-2118
Phone (201) 936-2659
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.firstaidrx.com |
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 |
|---|---|---|---|
| 28RI04151300 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613174400000",
"number": "1780277434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CANDICE WAY",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "079362118",
"telephone_number": "201-936-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 HALEDON AVE # 102",
"city": "HALEDON",
"state": "NJ",
"postal_code": "075081551",
"telephone_number": "862-237-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TCHAO",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-13",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04151300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.firstaidrx.com",
"affiliation": "N",
"address_1": "397 Haledon Ave # 102",
"city": "Haledon",
"state": "NJ",
"country_code": "US",
"postal_code": "075081551",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Haledon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.