Fenny Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00664300 Issued in NJ

Legal business name

FENNY PHARMACY LLC

Practice address

129 Newark Ave
Jersey City, NJ 07302-2811

Phone

(201) 333-2223

Fax

(201) 333-2224

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Badrinath Boggram Ramamohan, RPH

Title

Pic

Phone

(201) 333-2223

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• FENNY PHARMACY Doing business as

Locations

Practitioners 3

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

• Bipin Parikh

  • Specialist
  • Jersey City, NJ
  • NPI 1962555193
  NPD (past)
• Marc Harold Simonson, MD

  • Diagnostic Radiology Physician
  • Union City, NJ
  • NPI 1902973589
  NPD (past)
• Ihab J. Ibrahim, M.D.

  • Interventional Pain Medicine Physician
  • Saint Louis, MO
  • NPI 1043259880
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1215043849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022811",
            "telephone_number": "201-333-2223",
            "fax_number": "201-333-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022811",
            "telephone_number": "201-333-2223",
            "fax_number": "201-333-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "BOGGRAM RAMAMOHAN",
        "authorized_official_first_name": "BADRINATH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "201-333-2223",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00664300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123528",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FENNY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lourdes C Felarca, MD
• Shannen Felder
• Jacqueline Ruth Feldman
• Morgan Felix, MS CCC-SLP
• Matthew Fellner, LAC
• Fenny Pharmacy LLC
• Laura Beatriz Feratovic, AGPCNP-BC
• Feraydoon Kohan, MD, LLC
• Fereidoon Behin MD PA
• Bruce J. Fernandes

• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, 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 Dec 1, 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.