Angelos Pharmaceutical Services, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00646800 Issued in NJ

Legal business name

ANGELOS PHARMACEUTICAL SERVICES, INC.

Doing business as

angelo pharmacy

Practice address

492 Ferry St
Newark, NJ 07105-3925

Phone

(973) 589-6530

Fax

(973) 589-4528

NPI assigned

Oct 5, 2005

Last updated

Feb 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesus Suarez, RPHNPI 1649301615

Title

President

Phone

(973) 589-6530

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• angelo pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Angelo 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.

• Angelos Pharmaceutical Services, Inc.

  dba Angelo Pharmacy LTC

  • Long Term Care Pharmacy
  • Newark, NJ
  • NPI 1548726813
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesus Suarez, RPH

  • Pharmacist
  • Newark, NJ
  • NPI 1649301615
  NPD Authorized official

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1396732285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053925",
            "telephone_number": "973-589-6530",
            "fax_number": "973-589-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053925",
            "telephone_number": "973-589-6530",
            "fax_number": "973-589-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELOS PHARMACEUTICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-589-6530",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00646800",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00646800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "0066338",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066320",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3101398",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3101398",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "angelo pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Nicole Andre
• Achante Andrews, LAC, LCADC
• Anesthesia Associates at St. Michael's, LLC
• Angel Hope House
• Angelic Assist LLC
• Angelos Pharmaceutical Services, Inc. (Angelo Pharmacy LTC)
• Rose Angervil
• Evanie Anglade, MD
• Mercy Anighoro, MD
• Appolonia Ngozika Anike, NP

• Pharmacy in Newark, NJ
• Providers in Newark, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.