Organization Active NPI

JJJ Distributors

  • Pharmacy
  • Elizabeth, NJ
National Provider Identifier
1396124756
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
JJJ DISTRIBUTORS
Practice address
400 Trumbull St
Elizabeth, NJ 07206-2115
Phone
(908) 355-8854
Fax
(908) 355-1419
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Carlos A Rodriguez
Title
Director Operations
Phone
(908) 355-8854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

400 Trumbull St
Elizabeth, NJ 07206-2115

Mailing address

400 Trumbull St
Elizabeth, NJ 07206-2115

National Provider Directory

National Provider Directory

Locations

400 Trumbull St
Elizabeth, NJ 07206
Phone (908) 355-8854

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1396124756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TRUMBULL ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072062115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TRUMBULL ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072062115",
            "telephone_number": "908-355-8854",
            "fax_number": "908-355-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJJ DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "908-355-8854"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.