Organization Active NPI

HSMG LLC

  • Community/Retail Pharmacy
  • Clifton, NJ
National Provider Identifier
1295846665
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00469100 Issued in NJ
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

Updated by the provider on Apr 7, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3133458OtherNABP #
5156009MedicaidNJ

Other names 1

  • van houten pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251017004104 NJ Part B Supplier - Pharmacy 2769970177 Practice locations: Clifton, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.