Active NPI
Community Pharmacy RX Inc
- Community/Retail Pharmacy
- Jersey City, NJ
National Provider Identifier
1245079524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COMMUNITY PHARMACY RX INC
- Practice address
- 79 Monticello Ave
Jersey City, NJ 07304-2558 - Phone
- (201) 333-4700
- Fax
- (201) 333-4708
- NPI assigned
- May 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farjad Haider
- Title
- President
- Phone
- (201) 333-4700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
79 Monticello Ave
Jersey City, NJ 07304-2558
Mailing address
79 Monticello Ave
Jersey City, NJ 07304-2558
Phone (201) 333-4700
Other names 1
- Community Pharmacy & Surgical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250422001809 | NJ | DME Supplier - Pharmacy | 9234665282 | Practice locations: Jersey City, NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1245079524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 MONTICELLO AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073042558",
"telephone_number": "201-333-4700",
"fax_number": "201-333-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MONTICELLO AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073042558",
"telephone_number": "201-333-4700",
"fax_number": "201-333-4708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY PHARMACY RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-24",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "HAIDER",
"authorized_official_first_name": "FARJAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-333-4700"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Pharmacy & Surgical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Community Pharmacy & Surgical",
"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 28, 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.