Glen Rock Health Care Enterprises Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00588600 Issued in NJ

Legal business name

GLEN ROCK HEALTH CARE ENTERPRISES INC.

Doing business as

Medicine Shoppe

Practice address

644 Godwin Ave. #2 Godwin Plaza
Midland Park, NJ 07432-1450

Phone

(201) 689-2252

NPI assigned

Feb 17, 2007

Last updated

Oct 29, 2010By 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

Joyce Lam

Title

President

Phone

(201) 689-2252

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1366586828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 GODWIN AVE. #2 GODWIN PLAZA",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321450",
            "telephone_number": "201-689-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 GODWIN AVE. #2 GODWIN PLAZA",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321450",
            "telephone_number": "201-689-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ROCK HEALTH CARE ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-689-2252"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00588600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8374805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Francis Garofalo, MA, LAC, NCC
• Rachel Gaul, LSW
• Chana B Getter, LCSW
• Kevin Edward Arora Giangrasso, PSY.D.
• Mary E Giorlando, MD
• Michael Goldberg, DDS
• Jaclyn Anne Gonzalez
• Melissa Gonzalez
• Samantha Grandich, DPT
• Greta Gray

• Community/Retail Pharmacy in Midland Park, NJ
• Providers in Midland 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 Oct 29, 2010; 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.