Individual provider Active NPI

Ramon Tantalean, PHARM. D.

  • Pharmacist
  • Paterson, NJ
National Provider Identifier
1801163951
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02695700 Issued in NJ
Practice address
994 Madison Ave
Paterson, NJ 07501-3636
Phone
(973) 523-0500
Fax
(973) 523-1988
NPI assigned
Nov 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02695700 NJ Primary

Addresses

Primary practice location

994 Madison Ave
Paterson, NJ 07501-3636

Mailing address

263 Jacksonville Dr
Parsippany, NJ 07054-5018

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI02695700NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Farmacias del Pueblo LLC Current Accepting new patients

Locations

994 Madison Ave
Paterson, NJ 07501
Phone (973) 523-0500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1801163951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 JACKSONVILLE DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070545018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 MADISON AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013636",
            "telephone_number": "973-523-0500",
            "fax_number": "973-523-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTALEAN",
        "first_name": "RAMON",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02695700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.