Active NPI
Universal Heritage Company LLC
- Community/Retail Pharmacy
- Newark, NJ
National Provider Identifier
1245968353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2331009 | Live Well Pharmacy | Certificate of waiver | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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
- United Hospice of New Jersey LTD Liability Company
- Unity Global Agency LLC
- Univ of Med & Dent of NJ
- Universal Clinic, LLC
- Universal Dialysis Group,Inc.
- University Health Partnership
- University Health Professions
- University Heights Charter School
- University Heights Specialty Pharmacy Corp
- University Hospital
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.