Active NPI
Veena Booncharoen-Chien
- Pharmacist
- Pompton Lakes, NJ
National Provider Identifier
1801055058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02735200
- Practice address
- 63 Wanaque Ave
Pompton Lakes, NJ 07442-2023 - Phone
- (973) 616-9962
- Fax
- (973) 616-9965
- NPI assigned
- Jun 3, 2008
- Last updated
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 28RI02735200 | NJ | Primary |
Addresses
Primary practice location
63 Wanaque Ave
Pompton Lakes, NJ 07442-2023
Mailing address
11-01 4TH St
Fair Lawn, NJ 07410-1483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02735200 | Other | NJ | RPH STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 28RI02735200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Atlantic & Pacific Tea Company Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba A & P Pharmacy
- Pharmacy
- Pompton Lakes, NJ
- NPI 1669497228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1801055058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11-01 4TH ST",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 WANAQUE AVE",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074422023",
"telephone_number": "973-616-9962",
"fax_number": "973-616-9965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONCHAROEN-CHIEN",
"first_name": "VEENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02735200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH STATE LICENSE NUMBER",
"identifier": "28RI02735200",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pompton Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.