Medi Center Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00615700 Issued in NJ

Legal business name

MEDI CENTER PHARMACY

Practice address

993 McBride Ave
West Paterson, NJ 07424-2534

Phone

(973) 256-0144

NPI assigned

Jan 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Lina Diaz, R.P.NPI 1295150407

Title

Manager

Phone

(973) 256-0144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lina Isabel Diaz, RPH

  • Pharmacist
  • Woodland Park, NJ
  • NPI 1295150407
  NPD (past) Authorized official

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073592713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 MCBRIDE AVE",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242534",
            "telephone_number": "973-256-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 MCBRIDE AVE",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242534",
            "telephone_number": "973-256-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-256-0144",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R.P."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00615700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8903204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael M Mainero, M.D.
• Domenico Mancini Jr., DC
• Marc Kitrosser DPM PA
• Warren Maresca, M.D.
• Med Solutions, LLC
• Meena S. Patel, MD
• Michael M. Mainero, M.D.,P.a.
• Igor Mitreski, M.D.
• Naweed K Majid MD
• Ottavio G Nepa (Atlas Chiropractic Center)

• Pharmacy in West Paterson, NJ
• Providers in West Paterson, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.