Robert S Jenco, PHARMD
Individual provider Active NPI Pharmacist · Green Brook, NJ
NPI 1992087340 · NPPES record last updated Sep 12, 2011
Key facts
- NPI
- 1992087340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03145800 (NJ)
- Practice address
- 247 Route 22 East
Green Brook, NJ 08812-1807 - Phone
- (732) 624-1520
- NPI assigned
- Sep 12, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03145800 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03145800 | NJ | Yes |
Addresses
Primary practice location
247 Route 22 East
Green Brook, NJ 08812-1807
Mailing address
760 Ercama St
Linden, NJ 07036-5726
Phone (908) 862-4699
Other providers in Green Brook, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.