Rodeo Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

RODEO PHARMACY INC

Practice address

225 Broad Ave Ste And203
Palisades Park, NJ 07650-1588

Phone

(201) 363-1181

Fax

(201) 363-1182

NPI assigned

Jul 28, 2025

Organization subpart

No

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

Authorized official

Name

Jean Lee

Title

President

Phone

(201) 363-1181

Specialties & licenses 1

Addresses

Other names 1

• RODEO PHARMACY Doing business as

Tax ID family

Rodeo Pharmacy2 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.

• Rodeo Pharmacy Inc

  • Pharmacy
  • Palisades Park, NJ
  • NPI 1821089186
  NPD tax ID

Locations

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1386527307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROAD AVE STE AND203",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501588",
            "telephone_number": "201-363-1181",
            "fax_number": "201-363-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROAD AVE STE AND203",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501588",
            "telephone_number": "201-363-1181",
            "fax_number": "201-363-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-363-1181"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RODEO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harvey William Rice, M.D.
• Riverside Health Care LLC
• Riverside Health Care LLC
• Robin Semegran, OD, PC
• Rodem Tree Physical Therapy PC
• Rodeo Pharmacy Inc
• Roh Chiropractic LLC
• Sungmin Edward Row, DDS
• Charles Ryu, D.C.
• Anjna Saini

• Long Term Care Pharmacy in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.