Healthcare Provider Details

I. General information

NPI: 1700701364
Provider Name (Legal Business Name): JOHN RALPH FERRENTINO PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BATES BUILDING, 2ND FLOOR, PO BOX 863 WHITTLESEY ROAD & STUYVESANT AVE
TRENTON NJ
08625
US

IV. Provider business mailing address

63 MALVERN DR
CLARK NJ
07066-1807
US

V. Phone/Fax

Practice location:
  • Phone: 609-292-4036
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03948600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: