Individual provider Active NPI

Ibeth A Garcia

  • Pharmacist
  • Wayne, NJ
National Provider Identifier
1891556874
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04352800 Issued in NJ
Practice address
2405 Hamburg Tpke Ste C
Wayne, NJ 07470-6261
Phone
(973) 831-4080
NPI assigned
Jan 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04352800 NJ Primary

Addresses

Primary practice location

2405 Hamburg Tpke Ste C
Wayne, NJ 07470-6261

Mailing address

69 Oak St
Clifton, NJ 07014-1703
Phone (201) 968-8873

Other practice location 1

149 State Route 23
Wayne, NJ 07470-6900
Phone (973) 812-8995

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

LicenseStateTypeSpecialty
28RI04352800NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Pharmacy LLC PastSince Jan 21, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1891556874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 OAK ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141703",
            "telephone_number": "201-968-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 HAMBURG TPKE STE C",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706261",
            "telephone_number": "973-831-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 State Route 23",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074706900",
            "country_code": "US",
            "telephone_number": "973-812-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "IBETH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04352800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.