Maplewood Village Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAPLEWOOD VILLAGE PHARMACY LLC

Practice address

101 Baker St Unit B
Maplewood, NJ 07040-2782

Phone

(732) 234-0050

Fax

(732) 234-0049

NPI assigned

Oct 6, 2025

Organization subpart

No

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

Authorized official

Name

Mina Girgis

Title

Manager

Phone

(201) 515-7676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1053285676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BAKER ST UNIT B",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402782",
            "telephone_number": "732-234-0050",
            "fax_number": "732-234-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BAKER ST UNIT B",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402782",
            "telephone_number": "732-234-0050",
            "fax_number": "732-234-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD VILLAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-515-7676"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcus L. Ward Home
• Marigold Pediatric Dentistry and Orthodontics

• Community/Retail Pharmacy in Maplewood, NJ
• Providers in Maplewood, 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 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.