Progressive Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

28RS00700000 Issued in NJ

Legal business name

PROGRESSIVE PHARMACY LLC

Doing business as

progressive pharmacy

Practice address

85 Harreton Rd
Allendale, NJ 07401-1317

Phone

(201) 785-0200

Fax

(201) 785-0208

NPI assigned

Dec 28, 2009

Last updated

Dec 28, 2009By 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

Dr. Hector Rocco Giancarlo, MD

Title

Owner

Phone

(201) 825-0660

Specialties & licenses 1

Addresses

Other names 1

• progressive pharmacy Doing business as

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1073843926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARRETON RD",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011317",
            "telephone_number": "201-785-0200",
            "fax_number": "201-785-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HARRETON RD",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011317",
            "telephone_number": "201-785-0200",
            "fax_number": "201-785-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "GIANCARLO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "ROCCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-825-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00700000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "progressive pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.