MR. JACK GRUENBERG (NPI# 1750600540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750600540 |
| Entity Type | Individual |
| Full Name | MR. JACK GRUENBERG |
| Credential | R. PH. |
| Practice Address |
27 Fourth Street Park Ridge NJ 07656-1902 |
| Practice Telephone | 2012485207 |
| Mailing Telephone | 2012485207 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 16429 | NJ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 054468 | NY | Pharmacy Service Providers |
| Street Address |
27 FOURTH STREET |
| City | PARK RIDGE |
| State | NJ |
| Zip Code | 07656-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168326 | Cynthia J. Blake | Social Worker | Pascack Mental Health, 114 Kinderkamack Road, Park Ridge, NJ 07656 | 2019-05-01 |
| 1396251500 | Tocia Floris | Licensed Practical Nurse | 2 Lorraine Drive, Park Ridge, NJ 07656 | 2017-12-26 |
| 1528505625 | Sonal Desai | Registered Nurse | 2 Williams Crest, Park Ridge, NJ 07656 | 2017-01-26 |
| 1871960484 | Dr. Mark Schwartz, P.a. | Clinic/Center | 308 Chelsea Manor, Park Ridge, NJ 07656 | 2015-08-31 |
| 1871767194 | Arnold M. Sobel | Anesthesiology | 210 Bearwoods Road, Park Ridge, NJ 07656 | 2008-04-17 |
| 1548472145 | Deborah Renee Brodt Donnelly | Social Worker | 284 Spring Valley Rd, Park Ridge, NJ 07656 | 2007-05-04 |
| 1720204720 | Alan Zampieri | Pharmacist | 713 Butternut Dr, Franklin Lakes, NJ 07656 | 2007-04-18 |
| 1689790198 | Anthony M Riotto | Chiropractor | 128 Kinderkamack Road, Park Ridge, NJ 07656 | 2007-03-22 |
| 1063584605 | Christine M Ramagnano | Social Worker | 116 Warren Road, Park Ridge, NJ 07656 | 2006-11-15 |
| 1649647488 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 199 Kinderkamack Rd, Park Ridge, NJ 07656 | 2015-08-27 |
| Find all providers in zip 07656 | ||||
| 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 |
|---|---|---|---|---|
| 1871105155 | Monica Mois | Pharmacist | 1239 N Dee Rd, Park Ridge, IL 60068-1702 | 2020-08-19 |
| 1144692559 | Maurice Johnson | Pharmacist | 1306 Granville Ave, Park Ridge, IL 60068-5012 | 2015-10-25 |
| 1780083741 | Kimberly Kessell | Pharmacist | 2500 Windsor Mall Apt 3m, Park Ridge, IL 60068-3641 | 2014-08-15 |
| 1528407640 | Russell Andrew Mcgillivray | Pharmacist | 913 S Clifton Ave, Park Ridge, IL 60068 | 2013-06-21 |
| 1093099772 | Kelly Becker | Pharmacist | 1775 W Dempster St Ste To1116, Park Ridge, IL 60068-1143 | 2011-09-29 |
| 1689956971 | Yao Beltran | Pharmacist | 1024 Canfield Rd, Park Ridge, IL 60068 | 2011-09-13 |
| 1356578447 | Robert E Gale | Pharmacist | 620 Overhill Ave, Park Ridge, IL 60068-3455 | 2009-06-16 |
| 1043469240 | Rupam Desai | Pharmacist | 24 2nd St, Park Ridge, NJ 07656-1818 | 2008-09-11 |
| 1558481598 | Rick John Annes | Pharmacist | 1816 Brophy Ave, Park Ridge, IL 60068-5202 | 2007-03-31 |
| 1679699805 | Tushar Agnihotri | Pharmacist | 1900 S Cumberland Ave, Park Ridge, IL 60068-5235 | 2007-03-21 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 07656 |
Please comment or provide details below to improve the information on MR. JACK GRUENBERG.
| 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.