Active NPI
Skillzcare Pharmacy Inc
- Community/Retail Pharmacy
- Skillman, NJ
National Provider Identifier
1073221859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SKILLZCARE PHARMACY INC
- Doing business as
- Skillzcare Pharmacy Inc
- Practice address
- 1378 Route 206 # Unti14
Skillman, NJ 08558-1923 - Phone
- (609) 212-2123
- Fax
- (609) 212-2144
- NPI assigned
- Nov 9, 2022
- Last updated
- Nov 15, 2022
- 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
- Asma Surayya
- Title
- President
- Phone
- (732) 690-5264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1378 Route 206 # Unti14
Skillman, NJ 08558-1923
Mailing address
1378 Route 206 # Unti14
Skillman, NJ 08558-1923
Phone (609) 212-2123
Other names 1
- SKILLZCARE PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231212002986 | NJ | DME Supplier - Pharmacy | 3072962372 | Practice locations: Skillman, NJ |
| O20250623003196 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072962372 | Practice locations: Skillman, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Skillzcare Pharmacy Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1378 Route 206
Ste 4
Skillman, NJ 08558
Phone (609) 212-2123
1378 US Highway 206
Ste 14
Skillman, NJ 08558
Phone (609) 212-2123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1073221859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1378 ROUTE 206 # UNTI14",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085581923",
"telephone_number": "609-212-2123",
"fax_number": "609-212-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1378 ROUTE 206 # UNTI14",
"city": "SKILLMAN",
"state": "NJ",
"postal_code": "085581923",
"telephone_number": "609-212-2123",
"fax_number": "609-212-2144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKILLZCARE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A",
"authorized_official_last_name": "SURAYYA",
"authorized_official_first_name": "ASMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-690-5264"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SKILLZCARE PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Skillman, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.