NPIMap

Organization Active NPI

St Maria Pharmacy

Doing business as St Maria Pharmacy, Corp

  • Community/Retail Pharmacy
  • Bayonne, NJ
National Provider Identifier
1033560917
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00750600 Issued in NJ
Legal business name
ST MARIA PHARMACY
Doing business as
St Maria Pharmacy, Corp
Practice address
1093 Ave C
Bayonne, NJ 07002
Phone
(201) 935-0440
Fax
(201) 353-0420
NPI assigned
Jun 22, 2016
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Feby A GewargyNPI 1477895100
Title
Owner
Phone
(347) 681-5054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00750600 NJ Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1093 Ave C
Bayonne, NJ 07002

Mailing address

1093 Ave C
Bayonne, NJ 07002
Phone (201) 935-0440

Other identifiers 1

IdentifierTypeStateIssuer
2160485OtherPK

Other names 1

  • St Maria Pharmacy, Corp Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Maria Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1033560917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 AVE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-935-0440",
            "fax_number": "201-353-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 AVE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-935-0440",
            "fax_number": "201-353-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARIA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "GEWARGY",
        "authorized_official_first_name": "FEBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-681-5054"
    },
    "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": "28RS00750600",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160485",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Maria Pharmacy, Corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Maria Pharmacy, Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.