Organization Active NPI

A-Z Medical Systems Inc

Doing business as Family Drug Shops Haledon

  • Pharmacy
  • Paterson, NJ
National Provider Identifier
1194171843
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00749000 Issued in NJ
Legal business name
A-Z MEDICAL SYSTEMS INC
Doing business as
Family Drug Shops Haledon
Practice address
59 Church Street
Paterson, NJ 07505-1478
Phone
(973) 917-3175
Fax
(973) 917-3177
NPI assigned
May 12, 2016
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Mohammad Khan
Title
President/Owner
Phone
(973) 917-3175

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00749000 NJ Primary
Community/Retail Pharmacy 3336C0003X NU
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

59 Church Street
Paterson, NJ 07505-1478

Mailing address

59 Church Street
Paterson, NJ 07505
Phone (973) 917-3175

Other identifiers 1

IdentifierTypeStateIssuer
2160501OtherPK

Other names 1

  • Family Drug Shops Haledon Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161001000020 NJ DME Supplier - Pharmacy 1456558675 Practice locations: Paterson, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
A-Z Medical Systems Inc.59 Church St, Paterson, NJ 07505-1501(973) 917-3175 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 3, 2008

National Provider Directory

National Provider Directory

Locations

183 Belmont Ave
Ste 4
Haledon, NJ 07508
Phone (973) 917-3175

55 Mill St
Ste 7
Newton, NJ 07860
Phone (973) 940-0434

59 Church St
Paterson, NJ 07505
Phone (973) 917-3175

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1194171843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CHURCH STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07505",
            "telephone_number": "973-917-3175",
            "fax_number": "973-917-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CHURCH STREET",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051478",
            "telephone_number": "973-917-3175",
            "fax_number": "973-917-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-Z MEDICAL SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "973-917-3175"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00749000",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Drug Shops Haledon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.