=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700701364
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOHN RALPH FERRENTINO PHARMD, RPH
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/12/2026
-----------------------------------------------------
Last Update Date | 08/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | BATES BUILDING, 2ND FLOOR, PO BOX 863 WHITTLESEY ROAD & STUYVESANT AVE
-----------------------------------------------------
City | TRENTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08625
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-292-4036
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 63 MALVERN DR
-----------------------------------------------------
City | CLARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07066-1807
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 28RI03948600
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------