Bergen Family Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BERGEN FAMILY PHARMACY, INC.

Practice address

5202 Bergenline Ave
West New York, NJ 07093-5524

Phone

(201) 430-4420

Fax

(201) 430-4421

NPI assigned

Apr 8, 2025

Organization subpart

No

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

Authorized official

Name

Raksana AminovaNPI 1245606573

Title

President

Phone

(201) 430-4420

Specialties & licenses 1

Addresses

Other names 1

• PROMEDS NJ Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raksana Aminova, PHARM.D.

  • Pharmacist
  • Bronx, NY
  • NPI 1245606573
  NPD Authorized official

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1124812896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935524",
            "telephone_number": "201-430-4420",
            "fax_number": "201-430-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935524",
            "telephone_number": "201-430-4420",
            "fax_number": "201-430-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "AMINOVA",
        "authorized_official_first_name": "RAKSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-430-4420"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMEDS NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria T Batista, D.M.D.
• Ramon E. Batista, D.D.S.
• Heriberto Bedoya, RPH
• Bella Vida Home Health Services, Inc
• Sulaimy Benitez
• Bergen Line Endodontics LLC
• Bergenline Family Medicine
• Bergenline Health Care, LLC
• Bergenline Optometry PC
• Bergenline Orthodontics, LLC

• Community/Retail Pharmacy in West New York, NJ
• Providers in West New York, 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 Apr 20, 2026; 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.