Good Health, Inc. Dba Premier Pharmacy Services

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00730800 Issued in NJ

Legal business name

GOOD HEALTH, INC. DBA PREMIER PHARMACY SERVICES

Practice address

711 Anderson Ave
Cliffside Park, NJ 07010-2032

Phone

(201) 313-9797

Fax

(201) 313-9798

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Stephen Samuel

Title

Ceo

Phone

(310) 869-2259

Specialties & licenses 1

Addresses

Tax ID family

Good Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Polaris Specialty Pharmacy LLC

  • Specialty Pharmacy
  • Riverside, MO
  • NPI 1538529698
  NPD tax ID

Locations

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1346739612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CLOVERLEAF DR",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917066511",
            "telephone_number": "626-626-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102032",
            "telephone_number": "201-313-9797",
            "fax_number": "201-313-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH, INC. DBA PREMIER PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-869-2259"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00730800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Dawoud, D.D.S., LLC
• Jeanette M Gerould, PA
• Shontaye Glover, CCC-SLP
• GM Garci
• Kenneth Lester Goldberg, D.M.D.
• Michelle Kathleen Graziano, M.D.
• Edward Gerard Haas, LCADC
• Amira H Hana, PTA
• Hand & Trauma Institute
• Imad Omar Harsouni, MD

• Community/Retail Pharmacy in Cliffside Park, NJ
• Providers in Cliffside Park, 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 May 2, 2018; 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.