Organization Active NPI

Hasiard Meo Enterprise Inc

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1144231663
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02944 Issued in NJ
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

Updated by the provider on Jul 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4325807MedicaidNJ
3122556OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3122556OtherOTHER ID NUMBER

Other names 1

  • SPRINGFIELD AVE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.