Richard A Mistichelli in Newark - Pharmacist
Richard A Mistichelli - NPI 1417167560
Richard A Mistichelli is a Pharmacist in Newark, New Jersey. Richard A Mistichelli practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Richard A Mistichelli is 1417167560. The last update date is 2017-03-07.
Richard A Mistichelli's current location address is 794 Mount Prospect Ave, Newark, New Jersey. You can contact this provider via phone number 9734834749 and fax number 9734820643. The mailing address for Richard A Mistichelli is 794 Mount Prospect Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard A Mistichelli |
|---|---|
| Address | 794 Mount Prospect Ave, Newark, New Jersey |
| Phone Number | 9734834749 |
| Fax Number | 9734820643 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1417167560 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2017-03-07 |
Provider Mailing Address Detail
| Address | 794 Mount Prospect Ave |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71043221 |
| Phone Number | 9734834749 |
| Fax Number | 9734820643 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 28RI02615100 |
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Definition: 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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28RI02615100 | NJ | PHARMACIST |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Richard A Mistichelli by the Centers for Medicare & Medicaid Services?
The Richard A Mistichelli has been issued the NPI (National Provider Identifier) 1417167560, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard A Mistichelli's physical address?
The Richard A Mistichelli is physically located at 794 Mount Prospect Ave, in the city of Newark, NJ, with the postal code 71043221.
What is the Richard A Mistichelli's specialty and taxonomy code?
The Richard A Mistichelli's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Richard A Mistichelli receive its 1417167560 assignment from the Centers for Medicare & Medicaid Services?
The Richard A Mistichelli was assigned its 1417167560 by the Centers for Medicare & Medicaid Services on 2007-05-23.
As of what date were the details related to Richard A Mistichelli most recently updated or revised?
The information pertaining to Richard A Mistichelli, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-07.