Rebel RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

REBEL RX LLC

Practice address

178 Eagle Rock Ave
Unit 4
Roseland, NJ 07068

Phone

(973) 226-1200

Fax

(973) 226-1210

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Rene Javier Rodriguez, PHARMDNPI 1154073336

Title

Owner

Phone

(201) 233-2460

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Javier Rodriguez, PHARM D

  • Pharmacist
  • Roseland, NJ
  • NPI 1154073336
  NPD Authorized official

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1851709943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S BEVERYWYCK RD",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "07054",
            "telephone_number": "201-233-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 EAGLE ROCK AVE",
            "address_2": "UNIT 4",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "07068",
            "telephone_number": "973-226-1200",
            "fax_number": "973-226-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-233-2460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0506788",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preferred Home Health Care and Nursing Services Inc
• Premier Neurophysiology
• Psychological Growth Services, LLC
• Rachel Pucci, MSW
• Elizabeth Rasko, CCC-SLP
• Reimagined Mind Counseling and Consultation LLC
• Renren Acupuncture and Herbal Clinic LLC
• Marisa Rodriguez
• Rene Javier Rodriguez, PHARM D
• Romulo a. Aromin, Jr., MD, LLC

• Community/Retail Pharmacy in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.