NPIMap

Organization Active NPI

Wainger'S Drug Store Inc.

  • Point of Service
  • Elizabeth, NJ
National Provider Identifier
1003029083
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
WAINGER'S DRUG STORE INC.
Practice address
605 South Broad St.
Elizabeth, NJ 07202-2601
Phone
(908) 354-2416
Fax
(908) 352-0300
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Myron James Wainger, RETIRED RPH
Title
Owner
Phone
(908) 354-2416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X NJ Primary

Addresses

Primary practice location

605 South Broad St.
Elizabeth, NJ 07202-2601

Mailing address

605 South Broad St.
Elizabeth, NJ 07202-2601
Phone (908) 354-2416

Other identifiers 1

IdentifierTypeStateIssuer
4263502MedicaidNJ

National Provider Directory

National Provider Directory

Locations

605 S Broad St
Elizabeth, NJ 07202
Phone (908) 354-2416

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003029083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SOUTH BROAD ST.",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022601",
            "telephone_number": "908-354-2416",
            "fax_number": "908-352-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SOUTH BROAD ST.",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022601",
            "telephone_number": "908-354-2416",
            "fax_number": "908-352-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAINGER'S DRUG STORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAINGER",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-354-2416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RETIRED RPH"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4263502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.