Organization Active NPI

Ibchu LLC

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1275664237
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00377100 Issued in NJ
Legal business name
IBCHU LLC
Practice address
360 Martin Luther King Jr Dr
Jersey City, NJ 07305-3739
Phone
(201) 433-6990
Fax
(201) 433-6512
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Victor Chu
Title
Owner
Phone
(201) 433-6990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00377100 NJ Primary

Addresses

Primary practice location

360 Martin Luther King Jr Dr
Jersey City, NJ 07305-3739

Mailing address

360 Martin Luther King Jr Dr
Jersey City, NJ 07305-3739
Phone (201) 433-6990

Other identifiers 2

IdentifierTypeStateIssuer
2058224OtherPK
4370805MedicaidNJ

Other names 1

  • FRIENDLY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

360 Martin Luther King Jr Dr
Jersey City, NJ 07305
Phone (201) 433-6990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1275664237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MARTIN LUTHER KING JR DR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053739",
            "telephone_number": "201-433-6990",
            "fax_number": "201-433-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MARTIN LUTHER KING JR DR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053739",
            "telephone_number": "201-433-6990",
            "fax_number": "201-433-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBCHU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-433-6990"
    },
    "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": "28RS00377100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058224",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4370805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRIENDLY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.