Individual provider Active NPI

Adrienne Tamar Ashbahian, PHARMD

  • Pharmacist
  • Emerson, NJ
National Provider Identifier
1881290799
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03496600 Issued in NJ
Practice address
425 Old Hook Rd
Emerson, NJ 07630-1323
Phone
(201) 262-1722
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03496600 NJ Primary

Addresses

Primary practice location

425 Old Hook Rd
Emerson, NJ 07630-1323

Mailing address

150 Spruce St
Midland Park, NJ 07432-1132
Phone (551) 427-8401

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
28RI03496600NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inserra Supermarkets Inc PastSince Dec 13, 2020 Accepting new patients
Inserra Supermarket Incorporated PastSince Dec 13, 2020 Accepting new patients

Organizations & group practices 2

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1881290799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SPRUCE ST",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321132",
            "telephone_number": "551-427-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD HOOK RD",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301323",
            "telephone_number": "201-262-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBAHIAN",
        "first_name": "ADRIENNE",
        "middle_name": "TAMAR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03496600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.