Provider Demographics
NPI:1447146006
Name:TANYOUS, JOHN MAGDY (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:MAGDY
Last Name:TANYOUS
Suffix:
Gender:M
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 1:173 W 51ST ST
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2109
Mailing Address - Country:US
Mailing Address - Phone:201-779-7427
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTH AVE STE 14
Practice Address - Street 2:
Practice Address - City:GARWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07027-1349
Practice Address - Country:US
Practice Address - Phone:908-232-4888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04434500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist