Active NPI
Lisa Rathod Perez, PHARMD
- Pharmacist
- Pine Brook, NJ
National Provider Identifier
1982472064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03654200
- Practice address
- 19 Chapin Rd.
Building D, Suite D7
Pine Brook, NJ 07058 - Phone
- (973) 461-0100
- Fax
- (844) 225-9055
- NPI assigned
- Dec 18, 2023
- Last updated
- Dec 18, 2023
- 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 | 28RI03654200 | NJ | Primary |
Addresses
Primary practice location
19 Chapin Rd.
Building D, Suite D7
Pine Brook, NJ 07058
Mailing address
19 Chapin Rd.
Building D, Suite D7
Pine Brook, NJ 07058
Phone (551) 697-7911
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03654200 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1982472064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CHAPIN RD.",
"address_2": "BUILDING D, SUITE D7",
"city": "PINE BROOK",
"state": "NJ",
"postal_code": "07058",
"telephone_number": "551-697-7911",
"fax_number": "844-225-9055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 CHAPIN RD.",
"address_2": "BUILDING D, SUITE D7",
"city": "PINE BROOK",
"state": "NJ",
"postal_code": "07058",
"telephone_number": "973-461-0100",
"fax_number": "844-225-9055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LISA",
"middle_name": "RATHOD",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03654200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.