Organization Active NPI

Bejay Pharmacy Inc

Doing business as Heights Specialty Pharmacy

  • Community/Retail Pharmacy
  • Hasbrouck Heights, NJ
National Provider Identifier
1245245893
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00657200 Issued in NJ
Legal business name
BEJAY PHARMACY INC
Doing business as
Heights Specialty Pharmacy
Practice address
450 Boulevard
Hasbrouck Heights, NJ 07604-1518
Phone
(201) 288-0404
Fax
(201) 288-8125
NPI assigned
Jul 30, 2006
Last updated
Nov 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Sam PapasavasNPI 1962725366
Title
Owner/RPH
Phone
(201) 288-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 28RS00657200 NJ Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

450 Boulevard
Hasbrouck Heights, NJ 07604-1518

Mailing address

450 Boulevard
Hasbrouck Heights, NJ 07604-1518
Phone (201) 288-0404

Other identifiers 2

IdentifierTypeStateIssuer
0098761MedicaidNJ
2051793OtherPK

Other names 1

  • HEIGHTS SPECIALTY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100716000013 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 8224160965 Practice locations: Hasbrouck Heights, NJ
O20100930022610 NJ DME Supplier - Pharmacy 8224160965 Practice locations: Hasbrouck Heights, NJ

National Provider Directory

National Provider Directory
Tax ID family
Bejay Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 Boulevard
Hasbrouck Heights, NJ 07604
Phone (201) 288-0404

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1245245893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BOULEVARD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041518",
            "telephone_number": "201-288-0404",
            "fax_number": "201-288-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BOULEVARD",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076041518",
            "telephone_number": "201-288-0404",
            "fax_number": "201-288-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEJAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "PAPASAVAS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "201-288-0404"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00657200",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098761",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEIGHTS SPECIALTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hasbrouck Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.