St Mary & St Moses Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST MARY & ST MOSES PHARMACY

Doing business as

St Mark Pharmacy

Practice address

875 Bergen Ave
Jersey City, NJ 07306-4405

Phone

(201) 792-9881

NPI assigned

Feb 6, 2022

Last updated

Jan 15, 2023By 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

Mr. Nady Azer, RPHNPI 1013507060

Title

Pharmacist/Owner

Phone

(201) 792-9881

Specialties & licenses 1

Addresses

Other names 1

• St Mark 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 3

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.

• Nady Azer

  • Pharmacist
  • Jersey City, NJ
  • NPI 1013507060
  NPD Authorized official
• Marian Samaan

  • Pharmacist
  • Bayonne, NJ
  • NPI 1013507078
  NPD
• Said F Makar Sr., BS

  • Pharmacist
  • Jersey City, NJ
  • NPI 1649322264
  NPD (past)

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

{
    "created_epoch": "1644105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1285388595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BROOKSIDE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174674",
            "telephone_number": "201-455-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064405",
            "telephone_number": "201-792-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY & ST MOSES PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-06",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "NADY",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "201-792-9881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Mark Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Mark Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey 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 Jan 15, 2023; 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.