The Square Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE SQUARE PHARMACY LLC

Doing business as

The Square Pharmacy

Practice address

30 Journal Square PLZ
Jersey City, NJ 07306-3847

Phone

(201) 431-7717

NPI assigned

Aug 7, 2019

Last updated

Aug 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shairyar Khankhell

Title

Authorized Official

Phone

(201) 431-7717

Specialties & licenses 1

Addresses

Other names 1

• The Square Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Nour Aboushaar

  • Pharmacist
  • Jersey City, NJ
  • NPI 1497561526
  NPD

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1003461922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JOURNAL SQUARE PLZ",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063847",
            "telephone_number": "201-431-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 JOURNAL SQUARE PLZ",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063847",
            "telephone_number": "201-431-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SQUARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "KHANKHELL",
        "authorized_official_first_name": "SHAIRYAR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "201-431-7717"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Square Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Breast Center at Journal Square, LLC
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• The Lotus Path Psychiatry & Wellness
• The Rapha Collective
• The Recovery Team NJ
• The Square Pharmacy RX Corp
• The Tooth Dr Limited Liability Company
• The Wellness Center at Hamilton Park
• The Whole Spectrum Autism Foundation
• The Whole Spectrum Care LLC

• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, 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 Aug 1, 2022; 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.