Golden Cares Pharmacy Inc
Organization Active NPI Pharmacy · Palisades Park, NJ
NPI 1124574751 · NPPES record last updated May 25, 2018
Key facts
- NPI
- 1124574751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 28RS00753200 (NJ)
- Legal business name
- GOLDEN CARES PHARMACY INC
- Practice address
- 249 Broad Ave
Palisades Park, NJ 07650-1550 - Phone
- (201) 343-1170
- Fax
- (201) 343-1190
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Jae Park
- Title
- Owner
- Phone
- (201) 343-1170
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190311000896 | NJ | Part B Supplier - Pharmacy | 2264790633 | Practice locations: Palisades Park, NJ |
National Provider Directory
Locations
57 W Fort Lee Rd
Fl 1
Bogota, NJ 07603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 28RS00753200 | NJ | Yes |
Addresses
Primary practice location
249 Broad Ave
Palisades Park, NJ 07650-1550
Mailing address
53-57 West Fort Lee Road
Bogota, NJ 07603
Phone (201) 343-1170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2175363 | Other | PK |
Other names
- Golden Cares Pharmacy Inc
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All providers in Palisades Park, NJ · Pharmacy in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.