Pharmtastic Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00732000 Issued in NJ

Legal business name

PHARMTASTIC PHARMACY INC

Practice address

831 State Route 10
Whippany, NJ 07981-1154

Phone

(973) 739-4770

Fax

(973) 739-4774

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Mohamed Datoo

Title

Pharmacist in Charge

Phone

(973) 864-7892

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Pharmtastic Pharmacy Doing business as

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1992122188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 ROUTE 10",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811154",
            "telephone_number": "973-739-4770",
            "fax_number": "973-739-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 STATE ROUTE 10",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811154",
            "telephone_number": "973-739-4770",
            "fax_number": "973-739-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMTASTIC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "DATOO",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "973-864-7892"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00732000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144604",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmtastic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Paravati
• Punitkumar B Patel
• Srujal Patel, PHARM.D.
• Path to Healing Counseling Services
• Robert Mark Perkins, MD, MPH
• Ivan R Pierra, ATC
• Erika Pietzsch, LPC
• Kimberly Helen Polimeni, PT
• Premise Health of New Jersey Medical PC
• Primary Care Partners LLC

• Community/Retail Pharmacy in Whippany, NJ
• Providers in Whippany, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.