Paul R Rasa, RPh CCP
Pharmacist in Ringwood, NJ. Individual provider (NPI-1).
NPI number1477534071
StatusActive
Last updated in NPPESDec 12, 2012
Details
- NPI
- 1477534071
- Entity type
- Individual (NPI-1)
- Name
- Mr. Paul R Rasa
- Credential
- RPh CCP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2005
- Last updated
- Dec 12, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 28RI01445600 | NJ | Yes |
| 1835N1003X | Pharmacist, Nutrition Support | 28RI01445600 | NJ | |
| 1835P1200X | Pharmacist, Pharmacotherapy | 28RI01445600 | NJ | |
| 1835P1300X | Pharmacist, Psychiatric | 28RI01445600 | NJ |
Practice location
55 Skyline DrSuite 209
Ringwood, NJ 07456-2037
Phone 973-728-5800 · Fax 973-728-7070
Mailing address
4348 Rubery DrCarrollton, TX 75010-1148
Phone 973-722-7272
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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