Midtown Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00086800 Issued in NJ

Legal business name

MIDTOWN PHARMACY

Practice address

812 Kennedy Blvd
Bayonne, NJ 07002-2809

Phone

(201) 339-3060

Fax

(201) 339-7177

NPI assigned

Dec 18, 2006

Last updated

Feb 3, 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

John Shalhoub

Title

Owner

Phone

(201) 339-3060

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1366505984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022809",
            "telephone_number": "201-339-3060",
            "fax_number": "201-339-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "SHALHOUB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-339-3060"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00086800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4290801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3106665",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petranella Mhando, OD
• George Michaeil, MD
• Jonathan Tadros Michael, DPM
• Midtown Family Chiropractic Center PC (Midtown Physical Therapy Center)
• Midtown Pediatrics
• Marina Mikhail, FNP
• Dennis Mikkelsen, L.C.S.W.
• Michael Milad
• Ronald Kenneth Milan, M.D.
• Jonathan T Mingoia, FNP-C, D.C.

• Community/Retail Pharmacy in Bayonne, NJ
• Providers in Bayonne, 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 Feb 3, 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.