Good Time Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00707100 Issued in NJ

Legal business name

GOOD TIME PHARMACY LLC

Practice address

2801 Kennedy Blvd
Ste 10
Jersey City, NJ 07306

Phone

(201) 222-6655

Fax

(201) 222-6645

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Nataliya Shovkun

Title

Supervisor

Phone

(201) 222-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shimaa Amin

  • Pharmacist
  • West New York, NJ
  • NPI 1851992606
  NPD (past)
• Nidal M Adam, PHARMACIST

  • Pharmacist
  • Brooklyn, NY
  • NPI 1457941866
  NPD (past)
• Irina Sagun, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1518475409
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1316256290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 KENNEDY BLVD",
            "address_2": "STE 10",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065449",
            "telephone_number": "201-222-6655",
            "fax_number": "201-222-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 KENNEDY BLVD",
            "address_2": "STE 10",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-222-6655",
            "fax_number": "201-222-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD TIME PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "SHOVKUN",
        "authorized_official_first_name": "NATALIYA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "201-222-6655"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00707100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Gonzalez, MD
• Jordan S Gonzalez, PHARM.D, CGP, R.PH
• Kerrie Ann Gonzalez, LCSW
• Lily W Gonzalez, M.D.
• Veralyn Pena Gonzalez, PT
• Erica Alexandra Goodrich
• Jyotsna H Gor, MD
• Pradip D Gor, MD
• Sara Goral
• Kerry Gorbos

• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, 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 Jun 14, 2018; 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.