Organization Active NPI

SN Pharmacy LLC

Doing business as Anthony's Pharmacy

  • Community/Retail Pharmacy
  • Union City, NJ
National Provider Identifier
1184103624
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00689500 Issued in NJ
Legal business name
SN PHARMACY LLC
Doing business as
Anthony's Pharmacy
Practice address
4300 Palisade Ave
Union City, NJ 07087-5022
Phone
(201) 863-0631
Fax
(201) 863-0637
NPI assigned
Aug 7, 2018
Last updated
Mar 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Geetha Appana
Title
Member
Phone
(732) 874-0039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00689500 NJ Primary

Addresses

Primary practice location

4300 Palisade Ave
Union City, NJ 07087-5022

Mailing address

4300 Palisade Ave
Union City, NJ 07087-5022
Phone (201) 863-0631

Other names 1

  • ANTHONY'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190211000760 NJ DME Supplier - Pharmacy 9032457437 Practice locations: Union City, NJ

National Provider Directory

National Provider Directory
Tax ID family
SN 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.

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": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1184103624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875022",
            "telephone_number": "201-863-0631",
            "fax_number": "201-863-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PALISADE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875022",
            "telephone_number": "201-863-0631",
            "fax_number": "201-863-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "APPANA",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-874-0039"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00689500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTHONY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANTHONY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2023; 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.