Organization Active NPI

Excel Pharmacy Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1184917494
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00711800 Issued in NJ
Legal business name
EXCEL PHARMACY INC
Doing business as
EXCEL PHARMACY
Practice address
721 Newark Ave
Jersey City, NJ 07306-2803
Phone
(201) 239-5800
Fax
(201) 239-5806
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Kathlyn Sambat, PIC
Title
Pharmacist
Phone
(201) 239-5800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00711800 NJ Primary

Addresses

Primary practice location

721 Newark Ave
Jersey City, NJ 07306-2803

Mailing address

550 Newark Ave Ste 101
Jersey City, NJ 07306-1362
Phone (201) 239-5800

Other identifiers 2

IdentifierTypeStateIssuer
02696893MedicaidNJ
2130428OtherPK

Other names 1

  • EXCEL PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200217003425 NJ Part B Supplier - Pharmacy 0648442426 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

721 Newark Ave
Jersey City, NJ 07306
Phone (201) 239-5800

612 Pavonia Ave
Jersey City, NJ 07306
Phone (201) 239-5800

Practitioners & affiliated clinicians

Practitioners 3

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": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1184917494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE STE 101",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061362",
            "telephone_number": "201-239-5800",
            "fax_number": "201-239-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062803",
            "telephone_number": "201-239-5800",
            "fax_number": "201-239-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "SAMBAT",
        "authorized_official_first_name": "KATHLYN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "201-239-5800",
        "authorized_official_credential": "PIC"
    },
    "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": "28RS00711800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02696893",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130428",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXCEL 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 Jul 3, 2025; 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.