Organization Active NPI

Tadross Corporation, Inc.

  • Community/Retail Pharmacy
  • Perth Amboy, NJ
National Provider Identifier
1386797322
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00367600 Issued in NJ
Legal business name
TADROSS CORPORATION, INC.
Practice address
376 State St
Perth Amboy, NJ 08861-3438
Phone
(732) 442-5580
Fax
(732) 442-5581
NPI assigned
Jan 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mr. Albert R Tadross, R.PH.NPI 1194462473
Title
President
Phone
(732) 442-5580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00367600 NJ Primary

Addresses

Primary practice location

376 State St
Perth Amboy, NJ 08861-3438

Mailing address

376 State St
Perth Amboy, NJ 08861-3438
Phone (732) 442-5580

Other identifiers 3

IdentifierTypeStateIssuer
3238806MedicaidNJ
4364503MedicaidNJ
3127037OtherNJNCPDP

Other names 1

  • MANGER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930025326 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0941327035 Practice locations: Perth Amboy, NJ
O20220727004277 NJ Part B Supplier - Pharmacy 0941327035 Practice locations: Perth Amboy, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Tadross Corporation, Inc.376 State St, Perth Amboy, NJ 08861-3438(732) 442-5580 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchair Seating/Cushions|Ost… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

376 State St
Perth Amboy, NJ 08861
Phone (732) 442-5580

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1386797322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613438",
            "telephone_number": "732-442-5580",
            "fax_number": "732-442-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613438",
            "telephone_number": "732-442-5580",
            "fax_number": "732-442-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADROSS CORPORATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "TADROSS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-442-5580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00367600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3238806",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4364503",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3127037",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANGER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.