Organization Active NPI

Universal Heritage Company LLC

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1245968353
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNIVERSAL HERITAGE COMPANY LLC
Practice address
83 Mount Vernon Place
Newark, NJ 07106
Phone
(973) 581-3950
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Dr. Jephte Alexandre, PHARM.D
Title
Manager
Phone
(862) 371-2569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

83 Mount Vernon Place
Newark, NJ 07106

Mailing address

83 Mount Vernon PL
Newark, NJ 07106-3412
Phone (973) 581-3950

Other names 1

  • Live Well Pharmacy Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2331009Live Well Pharmacy83 Mount Vernon Place, Newark, NJ 07106Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

83 Mount Vernon Pl
Newark, NJ 07106
Phone (973) 581-3950

83A Mount Vernon Pl
Newark, NJ 07106

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1245968353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MOUNT VERNON PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063412",
            "telephone_number": "973-581-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MOUNT VERNON PLACE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07106",
            "telephone_number": "973-581-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL HERITAGE COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRE",
        "authorized_official_first_name": "JEPHTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "862-371-2569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Live Well Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.