Elmora RX Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELMORA RX PHARMACY LLC

Practice address

136 Elmora Ave
Elizabeth, NJ 07202-1148

Phone

(908) 342-9324

NPI assigned

Feb 2, 2024

Organization subpart

No

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

Authorized official

Name

Maged MessehaNPI 1053884866

Title

Pharmacist/Owner

Phone

(908) 342-9324

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Maged Messeha

  • Pharmacist
  • Newark, NJ
  • NPI 1053884866
  NPD Authorized official

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1376306266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HORSESHOE CT",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461921",
            "telephone_number": "908-342-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021148",
            "telephone_number": "908-342-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMORA RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "MESSEHA",
        "authorized_official_first_name": "MAGED",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "908-342-9324"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Souhaib Elkoun
• Robert Elliott, RPH
• Elmora Hills Health & Rehabilitation Center,LLC
• Elmora Pharmacy, Inc.
• Elmora Pharmacy, Inc.
• Tamara Rachel Elstein, MS OT
• Rony Elyahouzadeh, DDS
• Empowerment & Growth Consulting LLC
• Joi A Ennis, NP
• Dolores Ensley-Hawkins, DC

• Community/Retail Pharmacy in Elizabeth, NJ
• Providers in Elizabeth, 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 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.