Pharmcare USA of Edison, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00675800 Issued in NJ

Legal business name

PHARMCARE USA OF EDISON, INC.

Doing business as

Pharmcare USA of Edison, Inc.

Practice address

95 Newfield Ave
Suite a and B
Edison, NJ 08837-3824

Phone

(732) 733-2354

Fax

(732) 346-1999

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Kent Abbott

Title

President

Phone

(405) 663-4111

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pharmcare USA of Edison, Inc. Doing business as

Locations

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1144654930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480012",
            "telephone_number": "405-663-4111",
            "fax_number": "405-663-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NEWFIELD AVE",
            "address_2": "SUITE A AND B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373824",
            "telephone_number": "732-733-2354",
            "fax_number": "732-346-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCARE USA OF EDISON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-663-4111"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "028765",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00675800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmcare USA of Edison, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryann Peterson, M.D.
• Kristin Petosa, D.P.T.
• Michael Joseph Pezza Jr., DC
• Huy Tuan Pham, O.D.
• Michelle Hoang Phan, OD
• Pharmcare USA of Edison, Inc.
• Pharmedium Services, LLC
• Nicholas Anthony Phillips, DO
• Nigel Kelly Phillips, MS, MA
• Physicians Wellness Center

• Community/Retail Pharmacy in Edison, NJ
• Providers in Edison, 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 Aug 28, 2013; 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.