NPI Code Details Logo

NPI 1083534747

NPI 1083534747 : JOSEPH REILLY BS, PHARMD : BERKELEY HEIGHTS, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1083534747
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOSEPH REILLY BS, PHARMD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/21/2026
-----------------------------------------------------
    Last Update Date     |    07/21/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    400 CONNELL DR 
-----------------------------------------------------
    City                 |    BERKELEY HEIGHTS
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07922-2794
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-407-0099
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1009 HEIDELBERG AVE 
-----------------------------------------------------
    City                 |    EGG HARBOR CITY
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    08215-4204
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    732-407-0099
-----------------------------------------------------
    Fax                  |    732-407-0099
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    28RI02157500
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.