Healthcare Provider Details

I. General information

NPI: 1083534747
Provider Name (Legal Business Name): JOSEPH REILLY BS, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CONNELL DR
BERKELEY HEIGHTS NJ
07922-2794
US

IV. Provider business mailing address

1009 HEIDELBERG AVE
EGG HARBOR CITY NJ
08215-4204
US

V. Phone/Fax

Practice location:
  • Phone: 732-407-0099
  • Fax:
Mailing address:
  • Phone: 732-407-0099
  • Fax: 732-407-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02157500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: