Mr. Jack Gruenberg, R PH
Pharmacist in Park Ridge, New Jersey
1750600540- Practice location
- 27 Fourth Street, Park Ridge, NJ 07656-1902
- Phone
- 201-248-5207
- Fax
- —
- Last updated
- May 19, 2010
Jack Gruenberg is a Pharmacist based in Park Ridge, NJ. Jack Gruenberg practices in Park Ridge, NJ and has the professional credentials of R PH. The NPI Number for Jack Gruenberg is 1750600540 and holds a License No. 054468 (NY). The current practice location address for Jack Gruenberg is 27 Fourth Street, Park Ridge, NJ 07656-1902 and can be reached out via phone at 201-248-5207.
Provider Profile Details
- NPI Number
- 1750600540
- Provider Name
- Jack Gruenberg
- Credential
- R PH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 27 Fourth Street, Park Ridge, NJ 07656-1902
- Phone Number
- 201-248-5207
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 19, 2010
- Last Update Date
- May 19, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 27 Fourth Street
Park Ridge, NJ 07656-1902 - City
- Park Ridge
- State
- New Jersey
- Zip
- 07656-1902
- Phone Number
- 201-248-5207
Provider Business Mailing Address Details
- Address
- 27 Fourth Street
Park Ridge, NJ 07656-1902 - City
- Park Ridge
- State
- NJ
- Zip
- 07656-1902
- Phone Number
- 201-248-5207
License Information
- License Number (1)
- 054468
- License State (1)
- NY
- Taxonomy (1)
- Pharmacist · 183500000X · Primary
- License Number (2)
- 16429
- License State (2)
- NJ
- Taxonomy (2)
- Pharmacist · 183500000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Park Ridge, NJ
View all Pharmacists in Park Ridge →Frequently Asked Questions
What is the NPI number of Mr. Jack Gruenberg, R PH?
The NPI number of Mr. Jack Gruenberg, R PH is 1750600540. It was assigned on May 19, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Jack Gruenberg, R PH?
Mr. Jack Gruenberg, R PH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NY under license number 054468.
Where does Mr. Jack Gruenberg, R PH practice?
The practice location is 27 Fourth Street, Park Ridge, NJ 07656-1902. The office can be reached at 201-248-5207 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750600540 directly on the NPPES registry website.