Active NPI
Raab Pharmacy Passaic LLC
- Community/Retail Pharmacy
- Passaic, NJ
National Provider Identifier
1275034795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- RAAB PHARMACY PASSAIC LLC
- Practice address
- 31 Lexington Ave
Passaic, NJ 07055-5203 - Phone
- (201) 687-7347
- NPI assigned
- Feb 21, 2018
- 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
- Nida Ahmed
- Title
- President
- Phone
- (201) 687-7347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
31 Lexington Ave
Passaic, NJ 07055-5203
Mailing address
31 Lexington Ave
Passaic, NJ 07055-5203
National Provider Directory
National Provider DirectoryLocations
31 Lexington Ave
Passaic, NJ 07055
Phone (201) 687-7347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1275034795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 LEXINGTON AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 LEXINGTON AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555203",
"telephone_number": "201-687-7347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAAB PHARMACY PASSAIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "NIDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-687-7347"
},
"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 Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.