MEDICARE: MR. RICHARD A MISTICHELLI JR. RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI02615100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28RI02615100	OTHER	NJ	PHARMACIST

General Provider Information

NPI Number	:	1417167560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD A MISTICHELLI JR. RPH

Provider Business Mailing Address
First Line	:	77 KNOLLWOOD DR
Second Line	:
City	:	WATCHUNG
State	:	NJ
Zip	:	07069-6245
Country	:	US
Telephone Number	:	908-247-7368
Fax Number	:

Provider Business Practice Location Address
First Line	:	794 MOUNT PROSPECT AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-3221
Country	:	US
Telephone Number	:	973-483-4749
Fax Number	:	973-482-0643

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	03/07/2017

Similar Medicare Providers

1619568227 — IRONBOUND COMMUNITY HEALTH CENTER INC
Practice Location Address:

788 MOUNT PROSPECT AVE FL 2
NEWARK, NJ
07104-3221

Practice Phone: 973-433-9773
Practice Fax:

1083717482 — MT PROSPECT PHARMACEUTICAL SERVICES INC
Practice Location Address:

794 MOUNT PROSPECT AVE
NEWARK, NJ
07104-3221

Practice Phone: 973-483-4749
Practice Fax: 973-482-0643

1306057864 — MR. MATTHEW J PARISI JR. RPH
Practice Location Address:

794 MOUNT PROSPECT AVE
NEWARK, NJ
07104-3221

Practice Phone: 973-483-4749
Practice Fax: 973-482-0643

1326212796 — MS. LIANE PAIXAO-ILLA NP
Practice Location Address:

788 MOUNT PROSPECT AVE
NEWARK, NJ
07104-3221

Practice Phone: 973-485-6433
Practice Fax:

1083133961 — MT PROSPECT PHARMACEUTICAL SERVICES INC
Practice Location Address:

794 MOUNT PROSPECT AVE
NEWARK, NJ
07104-3221

Practice Phone: 973-483-4749
Practice Fax: 973-482-0643

1811408172 — BMG NEWARK LLC
Practice Location Address:

794 MOUNT PROSPECT AVE FL 2
NEWARK, NJ
07104-3221

Practice Phone: 973-777-0000
Practice Fax:

Directions to “ MR. RICHARD A MISTICHELLI JR. RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.