Active NPI
Outpatient Pharmacy Corp
Doing business as Invictus Pharmacy
- Pharmacy
- Rochelle Park, NJ
National Provider Identifier
1073007340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190903002661 | NJ | DME Supplier - Pharmacy | 7719216597 | Practice locations: Rochelle Park, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Kearny, NJ
- NPI 1497301063
-
- Pharmacist
- Rochelle Park, NJ
- NPI 1063999829
-
- Pharmacist
- Rochelle Park, NJ
- NPI 1477030997
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
- Open MRI & Imaging of Rochelle Park
- Suzanne Elizabeth Orlando, LCSW
- Orthopedic Specialties of New Jersey, Inc. (Orthopedic Specialties Unlimited, Inc.)
- Alan Alexander Oustaev, PHARM D.
- Out Water Medical Associates PA
- Pacific Medical Transportation LLC
- Rebecca Jane Palma, PA-C
- Jill Ann Pantaleo, LCSW
- Paramus Dental&Implant Center
- Parkway Healthcare LLC (Bristol Manor)
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.