BOGHOS YEDIKIAN (NPI# 1760041842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760041842 |
| Entity Type | Individual |
| Full Name | BOGHOS YEDIKIAN |
| Credential | PHARMD |
| Practice Address |
341 Broad Ave Palisades Park NJ 07650-1656 |
| Mailing Address |
197 Oxford Rd Chester NY 10918-4406 |
| Practice Telephone | 2019442720 |
| Mailing Telephone | 2019949651 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI04003300 | NJ | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NEW JERSEY BOARD OF PHARMACY | 28RI04003300 | 01 |
| Street Address |
341 BROAD AVE |
| City | PALISADES PARK |
| State | NJ |
| Zip Code | 07650-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447391768 | Anthonys Pharmacy LLC | Pharmacy | 341 Broad Ave, Palisades Park, NJ 07650-1656 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902134 | Balance Dizziness Center Inc. | Psychiatry & Neurology | 17 Brinkerhoff Terrace, Palisades Park, NJ 07650 | 2019-06-24 |
| 1437631371 | Catherine Jang | Pharmacist | 113 Roosevelt Pl, Palisades Park, NJ 07650 | 2018-09-06 |
| 1063911782 | Jinwoo Kim | Acupuncturist | 58w Oakdene Ave, Unit A, Palisades Park, NJ 07650 | 2018-02-08 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1366836520 | George Xenakis, Dds, Palisades Park, LLC | Clinic/Center | 261a Broad Ave, Palisades Park, NJ 07650 | 2015-03-26 |
| 1245637842 | Sun Young Lee | Nurse Practitioner | 11 West Harriet Ave, Apt 102, Palisades Park, NJ 07650 | 2014-11-25 |
| 1063824290 | Daehwan Ji | Acupuncturist | 460 Bergen Blvd Suite #304, Palisades Park, NJ 07650 | 2014-05-22 |
| 1295084739 | Minhyun Cho | Counselor | 19 E Central Blvd, Palisades Park, NJ 07650 | 2012-08-30 |
| 1255693164 | Juliana A Vasquez | Specialist | 446 7th Street, Palisades Park, NJ 07650 | 2012-06-15 |
| 1295019529 | Now Pain Clinc PC | Residential Treatment Facility, Physical Disabilities | 21 Grand Ave #502, Palisades Park, NJ 07650 | 2011-10-05 |
| Find all providers in zip 07650 | ||||
| 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 |
|---|---|---|---|---|
| 1801439104 | Hyo Jung Youn | Pharmacist | 1a Ackerman Pl, Palisades Park, NJ 07650-2841 | 2019-10-20 |
| 1437631371 | Catherine Jang | Pharmacist | 113 Roosevelt Pl, Palisades Park, NJ 07650 | 2018-09-06 |
| 1952811671 | Youjin Hwang | Pharmacist | 7 Broad Ave Ste 105, Palisades Park, NJ 07650-1886 | 2017-10-08 |
| 1518342096 | Sung Hee Moon | Pharmacist | 10 W Oakdene Ave Fl 2, Palisades Park, NJ 07650-1324 | 2015-07-24 |
| 1033547450 | Priyank Patel | Pharmacist | 522 Orchard Ave, Palisades Park, NJ 07650-1326 | 2013-10-22 |
| 1366750382 | Seung Hee Kim | Pharmacist | 543 Windsor Dr, Palisades Park, NJ 07650-2356 | 2010-09-24 |
| 1942470703 | Jong Jin Lee | Pharmacist | 237b Columbus Ave, Palisades Park, NJ 07650-1105 | 2008-03-08 |
| 1982243846 | Seo Jin Oh | Pharmacist | 249 Broad Ave, Palisades Park, NJ 07650-1550 | 2019-12-24 |
| 1467912188 | Hayoung Kim | Pharmacist | 7 Broad Ave Ste 105, Palisades Park, NJ 07650-1886 | 2019-03-20 |
| 1194299362 | Hyunah Jee | Pharmacist | 450b Broad Ave, Palisades Park, NJ 07650-3631 | 2019-01-21 |
| Find all providers in PALISADES PARK | ||||
| City | PALISADES PARK |
| Zip Code | 07650 |
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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.