Holy Name Medical Center Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00762300 Issued in NJ

Legal business name

HOLY NAME MEDICAL CENTER INC

Doing business as

Holy Name Pharmacare Dept.

Practice address

718 Teaneck Rd Ste 2
Teaneck, NJ 07666

Phone

(201) 530-7991

Fax

(201) 530-7992

NPI assigned

Jun 11, 2018

Last updated

Mar 5, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

HOLY NAME MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Doug Zehner

Title

Board Officer

Phone

(201) 833-7016

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Holy Name Pharmacare Dept. Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Holy Name Medical Center Inc

  dba Holy Name Hospital Hospice

  • Community Based Hospice Care Agency
  • Teaneck, NJ
  • NPI 1477686871

  3971665183

  Same PAC ID
• Holy Name Medical Center Inc

  dba Holy Name Hospital Homecare

  • Home Health Agency
  • Teaneck, NJ
  • NPI 1780760405

  3971665183

  Same PAC ID
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131

  3971665183

  Same PAC ID
• Holy Name Medical Center Inc.

  dba Holy Name Pavillion

  • Psychiatric Hospital Unit
  • Teaneck, NJ
  • NPI 1609945963

  3971665183

  Same PAC ID

Part of

Holy Name Medical Center

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla Goldberg

  • Pharmacist
  • Wyckoff, NJ
  • NPI 1487938981
  NPD (past)
• Desarta Shaqiri, PHARMD,RPH

  • Pharmacist
  • Teaneck, NJ
  • NPI 1629759725
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1003309428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD STE 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-530-7991",
            "fax_number": "201-530-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD STE 2",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-530-7991",
            "fax_number": "201-530-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY NAME MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY NAME MEDICAL CENTER INC",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "ZEHNER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "BOARD OFFICER",
        "authorized_official_telephone_number": "201-833-7016"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00762300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177991",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Name Pharmacare Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holy Name Hospital Ekg Interpretation Group
• Holy Name Hospital Regional Dialysis Center
• Holy Name Imaging LLC
• Holy Name Medical Associates, PC
• Holy Name Medical Center
• Holy Name Medical Center Inc (Holy Name Hospital Hospice)
• Holy Name Medical Center Inc (Holy Name Hospital Homecare)
• Holy Name Medical Center Inc.
• Holy Name Medical Center Inc. (Holy Name Alternate Care Pharmacy)
• Holy Name Medical Center Inc. (Holy Name Pavillion)

• Community/Retail Pharmacy in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.