Organization Active NPI

Wayne RX Inc

Doing business as Wayne Pharmacy

  • Community/Retail Pharmacy
  • Wayne, NJ
National Provider Identifier
1033214721
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WAYNE RX INC
Doing business as
Wayne Pharmacy
Practice address
1055 Hamburg Tpke
Wayne, NJ 07470-3235
Phone
(973) 696-6667
Fax
(973) 872-0088
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Tatiana Quiroz, RPH
Title
Pharmacist in Charge
Phone
(973) 696-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1055 Hamburg Tpke
Wayne, NJ 07470-3235

Mailing address

1055 Hamburg Tpke
Wayne, NJ 07470-3235
Phone (973) 696-6667

Other identifiers 3

IdentifierTypeStateIssuer
0019178MedicaidNJ
3145869OtherNJNCPDP #
0019186MedicaidNJ

Other names 1

  • Wayne Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120803000020 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7113134412 Practice locations: Wayne, NJ
O20200217000377 NJ DME Supplier - Pharmacy 2567895451 Practice locations: Wayne, NJ

National Provider Directory

National Provider Directory

Locations

1055 Hamburg Tpke
Ste 1
Wayne, NJ 07470
Phone (973) 696-6667

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1033214721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703235",
            "telephone_number": "973-696-6667",
            "fax_number": "973-872-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703235",
            "telephone_number": "973-696-6667",
            "fax_number": "973-872-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "973-696-6667",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019178",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3145869",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019186",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.