Pharmacy Express Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00761900 Issued in NJ

Legal business name

PHARMACY EXPRESS INC

Doing business as

Pharmacy Express Inc

Practice address

991 Main St
Unit 1B
Paterson, NJ 07503-2224

Phone

(973) 754-1000

Fax

(973) 754-1010

NPI assigned

Mar 29, 2018

Last updated

Sep 12, 2024By 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

Gemha Demir

Title

President

Phone

(570) 590-7819

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Pharmacy Express Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1114422102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MAIN ST",
            "address_2": "UNIT 1B",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032224",
            "telephone_number": "973-754-1000",
            "fax_number": "973-754-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MAIN ST",
            "address_2": "UNIT 1B",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032224",
            "telephone_number": "973-754-1000",
            "fax_number": "973-754-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "DEMIR",
        "authorized_official_first_name": "GEMHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-590-7819"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00761900",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N/A",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Express Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joann Petronchak, MS,CCC
• Gohar Petrosyan
• Matthew Petterson, DO
• PG Home Care Inc
• Duyen Pham, PHAM.D,
• Pharmacy Express Inc
• Pharmacy Express Inc
• Pharmacy on Main Inc (Main St Pharmacy)
• Pharmacy on Main Inc
• Simi Ann Philip

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.

Verify at the official NPI Registry.