Provider Demographics
NPI:1447087168
Name:NEARY, TARA ROSE (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:ROSE
Last Name:NEARY
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 VICTORY AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-1922
Mailing Address - Country:US
Mailing Address - Phone:201-694-3535
Mailing Address - Fax:
Practice Address - Street 1:65 RIVER RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1017
Practice Address - Country:US
Practice Address - Phone:201-313-2254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04389800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist