Organization Active NPI

Tony Pharmacy Inc.

Doing business as Concord Pharmacy

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1154089282
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TONY PHARMACY INC.
Doing business as
Concord Pharmacy
Practice address
317 Martin Luther King Dr.
Jersey City, NJ 07305
Phone
(201) 685-7070
Fax
(201) 685-7656
NPI assigned
Dec 6, 2021
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Nancy Bassaly, R.PH.NPI 1285346288
Title
President
Phone
(201) 685-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

317 Martin Luther King Dr.
Jersey City, NJ 07305

Mailing address

317 Martin Luther King Dr.
Jersey City, NJ 07305
Phone (201) 685-7070

Other names 1

  • Concord Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220103001277 NJ Part B Supplier - Pharmacy 8729479670 Practice locations: Jersey City, NJ
O20240902000009 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 0042759219 Practice locations: Jersey City, NJ
O20250320003401 NJ DME Supplier - Pharmacy 0042759219 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory
Tax ID family
Concord Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

317 Martin Luther King Jr Dr
Jersey City, NJ 07305
Phone (201) 685-7070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1154089282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MARTIN LUTHER KING DR.",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07305",
            "telephone_number": "201-685-7070",
            "fax_number": "201-685-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MARTIN LUTHER KING DR.",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07305",
            "telephone_number": "201-685-7070",
            "fax_number": "201-685-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BASSALY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-685-7070",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concord Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.