NPIMap

Organization Active NPI

Essex Pharmacy LLC

  • Pharmacy
  • Rochelle Park, NJ
National Provider Identifier
1285921247
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00712800 Issued in NJ
Legal business name
ESSEX PHARMACY LLC
Practice address
60 Essex St Ste 105
Rochelle Park, NJ 07662-4347
Phone
(201) 843-5920
Fax
(201) 843-5921
NPI assigned
Jun 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Thomas Uhm
Title
Pharmacist in Charge
Phone
(201) 843-5920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00712800 NJ Primary

Addresses

Primary practice location

60 Essex St Ste 105
Rochelle Park, NJ 07662-4347

Mailing address

60 Essex St
Suite 105
Rochelle Park, NJ 07662-4347
Phone (201) 843-5920

Other identifiers 2

IdentifierTypeStateIssuer
2130952OtherPK
0279633MedicaidNJ

Other names 1

  • Essex Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

60 Essex St
Ste 105
Rochelle Park, NJ 07662
Phone (201) 843-5920

Practitioners & affiliated clinicians

Practitioners 4

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": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1285921247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ESSEX ST",
            "address_2": "SUITE 105",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624347",
            "telephone_number": "201-843-5920",
            "fax_number": "201-843-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ESSEX ST STE 105",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624347",
            "telephone_number": "201-843-5920",
            "fax_number": "201-843-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "UHM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "201-843-5920"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00712800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130952",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279633",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.