Organization Active NPI

Faithful Pharmacy Inc

Doing business as Faithful Pharmacy

  • Community/Retail Pharmacy
  • Edison, NJ
National Provider Identifier
1184787707
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00539200 Issued in NJ
Legal business name
FAITHFUL PHARMACY INC
Doing business as
Faithful Pharmacy
Practice address
511 Old Post Rd Ste 6
Edison, NJ 08817-4684
Phone
(732) 287-3999
Fax
(732) 287-3996
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Jinyir GuoNPI 1811632003
Title
Pharmacist
Phone
(732) 985-3896

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00539200 NJ Primary

Addresses

Primary practice location

511 Old Post Rd Ste 6
Edison, NJ 08817-4684

Mailing address

511 Old Post Rd Ste 6
Edison, NJ 08817-4684
Phone (732) 287-3999

Other identifiers 2

IdentifierTypeStateIssuer
7155805MedicaidNJ
2053754OtherPK

Other names 1

  • FAITHFUL PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211026000873 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6901927094 Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1184787707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 OLD POST RD STE 6",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174684",
            "telephone_number": "732-287-3999",
            "fax_number": "732-287-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OLD POST RD STE 6",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174684",
            "telephone_number": "732-287-3999",
            "fax_number": "732-287-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "JINYIR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "732-985-3896"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00539200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7155805",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAITHFUL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.