MR. JOEL R GRODMAN (NPI# 1649549585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649549585 |
| Entity Type | Individual |
| Full Name | MR. JOEL R GRODMAN |
| Credential | R.PH. |
| Practice Address |
114 Congress St Newark NJ 07105-1723 |
| Practice Telephone | 9733449000 |
| Practice Fax Number | 9735892468 |
| Mailing Telephone | 9733449000 |
| Mailing Fax Number | 9735892468 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2012-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI01316900 | NJ | Pharmacy Service Providers |
| Street Address |
114 CONGRESS ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548286495 | Olshins Pharmacy Inc | Pharmacy | 114 Congress St, Newark, NJ 07105-1723 | 2006-07-14 |
| 1548538994 | Antonio Cernadas Jr | Pharmacist | 114 Congress St, Newark, NJ 07105-1723 | 2011-12-13 |
| 1427326461 | Su Jin Kim | Pharmacist | 114 Congress St, Newark, NJ 07105-1723 | 2011-12-05 |
| 1366710402 | Shalini Patel | Pharmacist | 114 Congress St, Newark, NJ 07105-1723 | 2011-12-04 |
| 1174890768 | Samy U Baig | Pharmacist | 114 Congress St, Newark, NJ 07105-1723 | 2011-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1023621703 | Theresa Ebinger | Pharmacist | 4114 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2020-08-24 |
| 1689217093 | Princess Ohene | Pharmacist | 3c Windsor Cir, Newark, DE 19702-1493 | 2019-10-18 |
| 1407498165 | Gabrielle Landes | Pharmacist | 50 Halsey St Apt 606t, Newark, NJ 07102-3079 | 2019-10-15 |
| 1033771894 | Vivek Shah | Pharmacist | 451 Bloomfield Ave, Newark, NJ 07107-1866 | 2019-07-02 |
| 1205324910 | Donna Marie Walsh | Pharmacist | 4755 Ogletown Stanton Rd Ofc Le15, Newark, DE 19718-2200 | 2018-04-27 |
| 1619465978 | Nermin R. Boles-attia | Pharmacist | 150 Bergen St Rm B134, Newark, NJ 07103-2496 | 2018-04-23 |
| 1043727589 | Kayleigh M Johnson | Pharmacist | 2000 Tamarack Rd Fl 2, Newark, OH 43055-1183 | 2018-01-05 |
| 1831615327 | Maria Fidelis Ilagan Romero | Pharmacist | 72 W Kyla Marie Dr, Newark, DE 19702-5433 | 2017-08-16 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.