Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417167560 Individual Practitioner Male Practitioner

Richard A Mistichelli , RPH

Pharmacist • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Richard Mistichelli, RPH is a registered healthcare professional specializing in Pharmacist in Newark, NJ. Practice services are available at 794 MOUNT PROSPECT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

794 Mount Prospect Ave

Newark, NJ 071043221

Telephone 9734834749
Fax 9734820643
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Newark, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
171 Specialists

Practicing in Newark, NJ (8390 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NJ 28RI02615100

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist
28RI02615100 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1083815146

Registered Pharmacist

NPI 1306057864

Registered Pharmacist

NPI 1659041705

Doctor of Pharmacy (Pharm.D.)

NPI 1801599709

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 07, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address March 07, 2017

Registered at 77 KNOLLWOOD DR, WATCHUNG, NJ 070696245 (Tel: 9082477368)

📍
Updated Practice Location March 07, 2017

Registered at 794 MOUNT PROSPECT AVE, NEWARK, NJ 071043221 (Tel: 9734834749)

👤
Provider Name / Credentials Updated March 07, 2017

Recorded as RICHARD MISTICHELLI, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2017

Pharmacist (License #28RI02615100 in NJ)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 794 MOUNT PROSPECT AVE, NEWARK, NJ 071043221 (Tel: 9734834749)

📍
Updated Business Mailing Address July 08, 2007

Registered at 63 BROADWAY RD, WARREN, NJ 070595001 (Tel: 9083503598)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD MISTICHELLI, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #28RI02615100 in NJ)

🟢
Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417167560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: March 07, 2017
Sole Proprietor: No

Mailing Address

77 Knollwood Dr

Watchung, NJ 070696245

Phone: 9082477368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.