Active NPI
HSMG LLC
- Community/Retail Pharmacy
- Clifton, NJ
National Provider Identifier
1295846665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00469100
- Legal business name
- HSMG LLC
- Practice address
- 669 Van Houten Ave
Clifton, NJ 07013-2125 - Phone
- (973) 779-1122
- Fax
- (973) 779-8996
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Omar Gharib
- Title
- Member
- Phone
- (201) 899-6244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00469100 | NJ | Primary |
Addresses
Primary practice location
669 Van Houten Ave
Clifton, NJ 07013-2125
Mailing address
669 Van Houten Ave
Clifton, NJ 07013-2125
Phone (973) 779-1122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3133458 | Other | NABP # | |
| 5156009 | Medicaid | NJ |
Other names 1
- van houten pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251017004104 | NJ | Part B Supplier - Pharmacy | 2769970177 | Practice locations: Clifton, NJ |
National Provider Directory
National Provider DirectoryLocations
669 Van Houten Ave
Clifton, NJ 07013
Phone (973) 779-1122
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Clifton, NJ
- NPI 1144817164
-
- Pharmacist
- Clifton, NJ
- NPI 1770638603
-
- Pharmacist
- Clifton, NJ
- NPI 1972658805
-
- Pharmacist
- Clifton, NJ
- NPI 1447843354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1295846665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "669 VAN HOUTEN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132125",
"telephone_number": "973-779-1122",
"fax_number": "973-779-8996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 VAN HOUTEN AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070132125",
"telephone_number": "973-779-1122",
"fax_number": "973-779-8996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HSMG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "GHARIB",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "201-899-6244",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00469100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP #",
"identifier": "3133458",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5156009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "van houten pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.