Oscar Health Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00755900 Issued in NJ

Legal business name

OSCAR HEALTH INC

Doing business as

Oscar Pharmacy

Practice address

4505 Bergenline Ave
Union City, NJ 07087

Phone

(201) 751-4984

Fax

(201) 751-4985

NPI assigned

May 16, 2017

Last updated

Aug 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jae AhnNPI 1548797962

Title

Pharmacist

Phone

(201) 751-4984

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• OSCAR PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Jae Ahn

  • Community/Retail Pharmacy
  • Union City, NJ
  • NPI 1548797962
  NPD Authorized official

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1255868691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 BERGENLINE AVENUE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872723",
            "telephone_number": "201-751-4984",
            "fax_number": "201-751-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-751-4984",
            "fax_number": "201-751-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "201-751-4984"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00755900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0603015",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSCAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daznette Oquendo, LSW
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• Community/Retail Pharmacy in Union City, NJ
• Providers in Union 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 Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.