Organization Active NPI

Genesis Pharmacy, Inc

  • Community/Retail Pharmacy
  • Passaic, NJ
National Provider Identifier
1265776272
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GENESIS PHARMACY, INC
Practice address
166 Passaic St
Passaic, NJ 07055-7350
Phone
(201) 819-7821
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mr. Emmanuel Onyema Oluwehuje
Title
President
Phone
(201) 819-7821

Specialties & licenses 1

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

Addresses

Primary practice location

166 Passaic St
Passaic, NJ 07055-7350

Mailing address

15 Old Oak Dr
Mahwah, NJ 07430-3047
Phone (201) 819-7821

National Provider Directory

National Provider Directory

Locations

166 Passaic St
Passaic, NJ 07055
Phone (201) 819-7821

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1265776272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OLD OAK DR",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074303047",
            "telephone_number": "201-819-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557350",
            "telephone_number": "201-819-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "OLUWEHUJE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "ONYEMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-819-7821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.