Herberts Drug & Surgical Sales Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

28RS00367400 Issued in NJ

Legal business name

HERBERTS DRUG & SURGICAL SALES CORP

Practice address

753 Bergen Ave
Jersey City, NJ 07306-4705

Phone

(201) 333-7250

Fax

(201) 200-0525

NPI assigned

Aug 3, 2006

Last updated

Jan 8, 2011By 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

Mr. John C Kim, R.PHNPI 1730466913

Title

Owner/Pharmacist

Phone

(201) 333-7250

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John C Kim, PHARMACIST

  • Pharmacist
  • Jersey City, NJ
  • NPI 1730466913
  Authorized official Same address or phone

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1346258589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-333-7250",
            "fax_number": "201-200-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-333-7250",
            "fax_number": "201-200-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERTS DRUG & SURGICAL SALES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "201-333-7250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00367400",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01823600",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00367400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4364309",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0462004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Rose Hensinger, LPC
• Valerie Hepburn, MD
• Ebony Monee Herald
• Herbertdrug (Herbert's Pharmacy)
• Herberts Drug & Surgical Sales Corp (Herbert's Drug and Surgical)
• Peter Herbst, MSW, LCSW
• Steven Lewis Herbst, LMSW, CASAC-2
• Caroline Kane Heres, MD
• Heritage Veins & Aesthetics LLC
• Heritage Wound Care LLC

• Durable Medical Equipment & Medical Supplies in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.