Organization Active NPI

Skillzcare Pharmacy Inc

  • Community/Retail Pharmacy
  • Skillman, NJ
National Provider Identifier
1073221859
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

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

SupplierSuppliesMedicare assignment
Skillzcare Pharmacy Inc1378 Route 206, Skillman, NJ 08558-1923(609) 212-2123 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 4, 2024

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.