Pharmacy 1 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACY 1 INC

Practice address

439 Central Ave
East Orange, NJ 07018-2526

Phone

(973) 266-7877

Fax

(973) 266-7833

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Peter MassakNPI 1609729011

Title

Member

Phone

(973) 266-7877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ST PETER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Massak

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1609729011
  NPD Authorized official
• Sara Massak

  • Community/Retail Pharmacy
  • East Orange, NJ
  • NPI 1306799713
  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1174093520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182526",
            "telephone_number": "973-266-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182526",
            "telephone_number": "973-266-7877",
            "fax_number": "973-266-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "MASSAK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-266-7877"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE",
            "identifier": "28RS00768000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST PETER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST PETER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Petemommy'S Place LLC
• Bincy J Peter
• Todd Peters
• Andrea Petruzzell, MS, OTR
• Allison Jean Pezick, PHARMD
• Pharmacy of America
• Physician Associates of Northern New Jersey, PC
• Zahava Picado, PHARMD
• Shamon Davis Pickens
• Margaret C Pickett, LCADC

• Community/Retail Pharmacy in East Orange, NJ
• Providers in East Orange, 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 May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.