Organization Active NPI

Fabios Pharmacy 2 LLC

  • Pharmacy
  • Union City, NJ
National Provider Identifier
1154834729
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
FABIOS PHARMACY 2 LLC
Practice address
3413 Bergenline Ave FL 1
Union City, NJ 07087-3921
Phone
(201) 721-9663
NPI assigned
Nov 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Nestor Fabio Jaime
Title
Owner
Phone
(201) 421-9663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3413 Bergenline Ave FL 1
Union City, NJ 07087-3921

Mailing address

10 Wentick St
Totowa, NJ 07512-2415
Phone (201) 421-9663

Other names 1

  • fabios pharmacy 2 llc Former legal business name

National Provider Directory

National Provider Directory

Locations

3413 Bergenline Ave
#1
Union City, NJ 07087
Phone (201) 721-9663

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1154834729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WENTICK ST",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122415",
            "telephone_number": "201-421-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 BERGENLINE AVE FL 1",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873921",
            "telephone_number": "201-721-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIOS PHARMACY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "JAIME",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_middle_name": "FABIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-421-9663"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "fabios pharmacy 2 llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.