Mikes Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MIKES PHARMACY LLC

Practice address

358 Main St
East Orange, NJ 07018-3208

Phone

(973) 266-9900

Fax

(973) 266-9901

NPI assigned

Jul 29, 2020

Organization subpart

No

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

Authorized official

Name

Metry Habashy

Title

Owner

Phone

(201) 388-4667

Specialties & licenses 1

Addresses

Other names 1

• Mike's Pharmacy Doing business as

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1295344927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 MAIN ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183208",
            "telephone_number": "973-266-9900",
            "fax_number": "973-266-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 MAIN ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183208",
            "telephone_number": "973-266-9900",
            "fax_number": "973-266-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "HABASHY",
        "authorized_official_first_name": "METRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-388-4667"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl T Middleton, D.D.S.
• Midpoint Health Care Services, Inc
• Diane Marie Mihalow, D.M.D.
• Miiddlewan Services LLC
• Mike Eats LLC
• Mariam Atefyousef Mikhail
• Hopal Miles
• Utenzi Miller-Johnson, DO
• Catharine Miller, D.O.
• Jeffrey A Miller, DO

• Community/Retail Pharmacy in East Orange, NJ
• Providers in East Orange, 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 Jul 29, 2020; 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.