Ridge Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RIDGE PHARMACY LLC

Practice address

613 Ridge Road
North Arlington, NJ 07031

Phone

(201) 428-9119

Fax

(201) 428-2620

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Sherif Hamoda

Title

President

Phone

(201) 428-9119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1396562211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 RIDGE ROAD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "07031",
            "telephone_number": "201-428-9119",
            "fax_number": "201-428-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RIDGE ROAD",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "07031",
            "telephone_number": "201-428-9119",
            "fax_number": "201-428-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "HAMODA",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-428-9119"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in North Arlington, NJ
• Providers in North Arlington, 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 Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.