Active NPI
Mina Gendy, PHARM.D
- Pharmacist
- Brick, NJ
National Provider Identifier
1285957795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03416900
- Practice address
- 1820 Lanes Mill Rd
Brick, NJ 08724-1483 - Phone
- (732) 840-1800
- Fax
- (732) 840-5847
- NPI assigned
- Mar 11, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03416900 | NJ | Primary |
Addresses
Primary practice location
1820 Lanes Mill Rd
Brick, NJ 08724-1483
Mailing address
1820 Lanes Mill Rd
Brick, NJ 08724-1483
Phone (732) 840-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI03416900 | Other | NJ | NJ BOARD OF PHARMACY |
| 053519 | Other | NY | NY BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03416900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quaker State Medical Services Co Inc | Past | Accepting new patients | |
| St. Minas Pharmacy Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Brick, NJ
- NPI 1669584660
-
- Non-Pharmacy Dispensing Site
- Exton, PA
- NPI 1629089578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1285957795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 LANES MILL RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087241483",
"telephone_number": "732-840-1800",
"fax_number": "732-840-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 LANES MILL RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087241483",
"telephone_number": "732-840-1800",
"fax_number": "732-840-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDY",
"first_name": "MINA",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-11",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03416900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NJ BOARD OF PHARMACY",
"identifier": "28RI03416900",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY BOARD OF PHARMACY",
"identifier": "053519",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.