HEITHEM ODEH (NPI# 1881169993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881169993 |
| Entity Type | Individual |
| Full Name | HEITHEM ODEH |
| Practice Address |
2 Bergen Tpke Ridgefield Park NJ 07660-2340 |
| Mailing Address |
244 Paterson Ave Lodi NJ 07644-3123 |
| Practice Telephone | 9082416337 |
| Mailing Telephone | 2014507300 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03974300 | NJ | Pharmacy Service Providers |
| Street Address |
2 BERGEN TPKE |
| City | RIDGEFIELD PARK |
| State | NJ |
| Zip Code | 07660-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104862580 | Specialty Rx Inc | Pharmacy | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | 2006-06-22 |
| 1730709221 | Dishant Patel | Pharmacist | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2390 | 2020-04-24 |
| 1194358945 | Hema Shaddarshanam | Pharmacist | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | 2020-02-20 |
| 1174095582 | Stat Portable X-ray of New Jersey, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | 2018-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967067 | Clare Maggio | Technician | 114 Third Street, Ridgefield Park, NJ 07660 | 2019-08-15 |
| 1427528090 | Beatriz Cruz | Social Worker | 395 Grand Street, Jersey City, NJ 07660 | 2018-11-27 |
| 1689102014 | Kyle James Viola | Physician Assistant | 714 10th St., Secaucus, NJ 07660 | 2017-05-30 |
| 1306398391 | Lawton C Thomas Jr D.m.d | Clinic/Center | 288 Main Street, Rdgefield Park, NJ 07660 | 2016-10-26 |
| 1396130316 | George Mina | Podiatrist | 199 Bergen Tpke Apt 2c, Ridgefield Park, NJ 07660 | 2015-04-06 |
| 1346582236 | Daniel Rousseau | Registered Nurse | 147 Hobart Street, Ridgiefiel Park, NJ 07660 | 2013-03-19 |
| 1275796138 | Aquaentellius, Inc | Pharmacy | 17 7th Street, Ridgefield Park, NJ 07660 | 2008-07-09 |
| 1487872495 | Nina Izhaky | Dentist | 45 Winant Ave., Ridgefield Park, NJ 07660 | 2007-04-23 |
| 1518987726 | Sonmed Homecare, LLC | Durable Medical Equipment & Medical Supplies | 58 60 Ridgefield Ave, Suite 6, Ridgefield Park, NJ 07660 | 2006-07-20 |
| 1811262330 | Iram Aqeel | Internal Medicine | 870 Palisade Ave, Teaneck, NJ 07660 | 2012-03-16 |
| Find all providers in zip 07660 | ||||
| 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 |
|---|---|---|---|---|
| 1124426887 | Rikita Shah | Pharmacist | 136 Mt Vernon St, Ridgefield Park, NJ 07660-1740 | 2014-12-11 |
| 1306247366 | Dhara Shah | Pharmacist | 58 Hazelton St, Ridgefield Park, NJ 07660-1142 | 2014-09-09 |
| 1720362528 | Furqan Bashir Muhammad | Pharmacist | 2 Union Pl, Ridgefield Park, NJ 07660-1233 | 2011-09-28 |
| 1912510652 | Won Kyu Shon | Pharmacist | 105 Challenger Rd Ste 401, Ridgefield Park, NJ 07660-2101 | 2020-08-24 |
| 1730709221 | Dishant Patel | Pharmacist | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2390 | 2020-04-24 |
| 1194358945 | Hema Shaddarshanam | Pharmacist | 2 Bergen Tpke, Ridgefield Park, NJ 07660-2340 | 2020-02-20 |
| 1326683277 | Susana Yusupov | Pharmacist | 105 Challenger Rd Ste 401, Ridgefield Park, NJ 07660-2101 | 2019-11-14 |
| 1043611007 | Rite Aid | Pharmacist | 58 Hazelton St, Ridgefield Park, NJ 07660-1142 | 2014-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861214 | Monalben Shah | Pharmacist | 11 Pine Ridge Dr, Edison, NJ 08820-2827 | 2020-11-08 |
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1891396677 | Shivaniben Shah | Pharmacist | 461 Rt 10 A100, Ledgewood, NJ 07852 | 2020-11-06 |
| 1851992606 | Shimaa Amin Amin | Pharmacist | 2801 John F Kennedy Blvd, Jersey City, NJ 07306-5449 | 2020-11-06 |
| 1710588223 | Reema Malkani | Pharmacist | 807 Abbey Ct, Sicklerville, NJ 08081-2405 | 2020-11-03 |
| 1689275166 | Erica Kaczmarczyk | Pharmacist | 106 Conover Rd, Princeton Junction, NJ 08550-3230 | 2020-11-03 |
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1366042053 | Iman M Ahmed | Pharmacist | 383 Washington, Hillsdale, NJ 07642 | 2020-10-30 |
| 1891395612 | Stephanie D Vortman | Pharmacist | 48 State Route 23, Pharmacy At Walmart, Riverdale, NJ 07457 | 2020-10-30 |
| 1730789785 | Jennifer J Wang | Pharmacist | 152 Route 31, Flemington, NJ 08822-5734 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | RIDGEFIELD PARK |
| Zip Code | 07660 |
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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.