Healthcare Provider Details

I. General information

NPI: 1417860941
Provider Name (Legal Business Name): JOSEPH RICCHEZZA IV PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 PITMAN DOWNER RD
SEWELL NJ
08080-1800
US

IV. Provider business mailing address

134 PITMAN DOWNER RD
SEWELL NJ
08080-1800
US

V. Phone/Fax

Practice location:
  • Phone: 856-723-5419
  • Fax:
Mailing address:
  • Phone: 856-723-5419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number34726
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: