Organization Active NPI

A.J.'S Pharmacy Inc.

  • Community/Retail Pharmacy
  • Cliffside Park, NJ
National Provider Identifier
1396880035
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00615200 Issued in NJ
Legal business name
A.J.'S PHARMACY INC.
Practice address
673 Anderson Ave
Cliffside Park, NJ 07010-1919
Phone
(201) 945-0772
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Mrs. Dawn E Bakunas
Title
Owner
Phone
(201) 945-0772

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28R00615200 NJ
Community/Retail Pharmacy 3336C0003X 28RS00615200 NJ Primary

Addresses

Primary practice location

673 Anderson Ave
Cliffside Park, NJ 07010-1919

Mailing address

673 Anderson Ave
Cliffside Park, NJ 07010-1919
Phone (201) 945-0772

Other identifiers 1

IdentifierTypeStateIssuer
8909504MedicaidNJ

National Provider Directory

National Provider Directory

Locations

673 Anderson Ave
Cliffside Park, NJ 07010
Phone (201) 945-0772

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1396880035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101919",
            "telephone_number": "201-945-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101919",
            "telephone_number": "201-945-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.J.'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "BAKUNAS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-945-0772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28R00615200",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00615200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.