Active NPI
Hasiard Meo Enterprise Inc
- Community/Retail Pharmacy
- Newark, NJ
National Provider Identifier
1144231663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 02944
- Legal business name
- HASIARD MEO ENTERPRISE INC
- Practice address
- 658 Springfield Ave
Newark, NJ 07103-1011 - Phone
- (973) 373-5846
- Fax
- (973) 373-2877
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Antonia Walton, RPH
- Title
- RPH in Charge
- Phone
- (973) 373-5846
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 02944 | NJ | Primary |
Addresses
Primary practice location
658 Springfield Ave
Newark, NJ 07103-1011
Mailing address
658 Springfield Ave
Newark, NJ 07103-1011
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4325807 | Medicaid | NJ | |
| 3122556 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 3122556 | Other | OTHER ID NUMBER |
Other names 1
- SPRINGFIELD AVE PHARMACY
National Provider Directory
National Provider DirectoryLocations
658 Springfield Ave
Newark, NJ 07103
Phone (973) 371-1500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1144231663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 SPRINGFIELD AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071031011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 SPRINGFIELD AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071031011",
"telephone_number": "973-373-5846",
"fax_number": "973-373-2877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASIARD MEO ENTERPRISE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "ANTONIA",
"authorized_official_title_or_position": "RPH IN CHARGE",
"authorized_official_telephone_number": "973-373-5846",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "02944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4325807",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3122556",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3122556",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SPRINGFIELD AVE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.