Active NPI
Irene Elizabeth Gomez, RPH
- Pharmacist
- North Bergen, NJ
National Provider Identifier
1932283363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI02239400
- Practice address
- 7823 Bergenline Ave
North Bergen, NJ 07047-4942 - Phone
- (201) 869-1235
- Fax
- (201) 221-9794
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- 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 | 28RI02239400 | NJ | Primary |
Addresses
Primary practice location
7823 Bergenline Ave
North Bergen, NJ 07047-4942
Mailing address
7823 Bergenline Ave
North Bergen, NJ 07047-4942
Phone (201) 869-1235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI02239400 | Other | NJ | PHARMACIST 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02239400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932283363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7823 BERGENLINE AVE",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070474942",
"telephone_number": "201-869-1235",
"fax_number": "201-221-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7823 BERGENLINE AVE",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070474942",
"telephone_number": "201-869-1235",
"fax_number": "201-221-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "IRENE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI02239400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "28RI02239400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.