Avenel Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00631600 Issued in NJ

Legal business name

AVENEL PHARMACY INC

Doing business as

Avenel Pharmacy

Practice address

994 Rahway Ave
Avenel, NJ 07001-1946

Phone

(732) 634-1914

Fax

(732) 634-5708

NPI assigned

Sep 20, 2006

Last updated

Mar 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hank Incognito, RPH

Title

Ceo

Phone

(732) 634-1914

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• AVENEL PHARMACY Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1316044241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 RAHWAY AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011946",
            "telephone_number": "732-634-1914",
            "fax_number": "732-634-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 RAHWAY AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011946",
            "telephone_number": "732-634-1914",
            "fax_number": "732-634-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENEL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "INCOGNITO",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-634-1914",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00631600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054927",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34576",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVENEL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ascendia PT and OT Rehabilitation LLC
• Auroma Therapy Services,Inc
• Avenel and Colonia First Aid Squad Incorporated
• Avenel Family Chiropractic, LLC
• Avenel Medical Transport
• Avenel Physical Therapy
• Avenel Urgent Care LLC
• Tia Babb
• Daya Bale, DDS
• Diane Barany

• Community/Retail Pharmacy in Avenel, NJ
• Providers in Avenel, 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 Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.