Organization Active NPI

Outpatient Pharmacy Corp

Doing business as Invictus Pharmacy

  • Pharmacy
  • Rochelle Park, NJ
National Provider Identifier
1073007340
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
OUTPATIENT PHARMACY CORP
Doing business as
Invictus Pharmacy
Practice address
60 Essex St Ste 202
Rochelle Park, NJ 07662-4347
Phone
(201) 991-0800
Fax
(201) 991-1980
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Authorized official

Name
Dr. Meyer Davidoff, PHARMD
Title
Ceo
Phone
(201) 880-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NJ Primary
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

60 Essex St Ste 202
Rochelle Park, NJ 07662-4347

Mailing address

120 E 56TH St RM 900
New York, NY 10022-3644
Phone (212) 380-6866

Other names 1

  • Invictus Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190903002661 NJ DME Supplier - Pharmacy 7719216597 Practice locations: Rochelle Park, NJ

National Provider Directory

National Provider Directory

Locations

206 Bergen Ave
Fl 1
Kearny, NJ 07032

206 Bergen Ave
Ste 204
Kearny, NJ 07032
Phone (201) 991-0800

60 Essex St
Ste 202
Rochelle Park, NJ 07662
Phone (201) 587-8887

120 E 56th St
Rm 900
New York, NY 10022

Practitioners & affiliated clinicians

Practitioners 3

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": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1073007340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 56TH ST RM 900",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223644",
            "telephone_number": "212-380-6866",
            "fax_number": "201-991-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ESSEX ST STE 202",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624347",
            "telephone_number": "201-991-0800",
            "fax_number": "201-991-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVIDOFF",
        "authorized_official_first_name": "MEYER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-880-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invictus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.