Oncomed Pharmaceutical Services of Jersey City NJ LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00676800 Issued in NJ

Legal business name

ONCOMED PHARMACEUTICAL SERVICES OF JERSEY CITY NJ LLC

Practice address

4041 Hadley Rd
South Plainfield, NJ 07080-1111

Phone

(201) 798-5220

Fax

(201) 798-5224

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Paul Jardina

Title

President & Ceo

Phone

(502) 416-1483

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Onco360 Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Rapid City, SD
  • NPI 1174556757

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1205019064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CAMPUS PL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992308",
            "telephone_number": "877-662-6633",
            "fax_number": "877-662-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 HADLEY RD",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070801111",
            "telephone_number": "201-798-5220",
            "fax_number": "201-798-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCOMED PHARMACEUTICAL SERVICES OF JERSEY CITY NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "JARDINA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "502-416-1483"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00676800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onco360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in South Plainfield, NJ
• Providers in South Plainfield, 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 Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.