Active NPI
St Marina Pharmacy Inc
Doing business as St Marina Pharmacy
- Community/Retail Pharmacy
- Bayonne, NJ
National Provider Identifier
1407501091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ST MARINA PHARMACY INC
- Doing business as
- St Marina Pharmacy
- Practice address
- 458 Avenue C
Bayonne, NJ 07002-5171 - Phone
- (201) 339-1940
- Fax
- (201) 339-1876
- NPI assigned
- Feb 13, 2022
- Last updated
- Aug 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherine Soliman
- Title
- Pharmacist in Charge
- Phone
- (201) 339-1940
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
458 Avenue C
Bayonne, NJ 07002-5171
Mailing address
458 Avenue C
Bayonne, NJ 07002-5171
Other names 1
- ST MARINA PHARMACY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | MICROMERCHANTPRIMERX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220406002921 | NJ | Part B Supplier - Pharmacy | 5890181440 | Practice locations: Bayonne, NJ |
National Provider Directory
National Provider DirectoryLocations
458 Avenue C
Bayonne, NJ 07002
Phone (201) 339-1940
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Bayonne, NJ
- NPI 1225620867
-
- Pharmacist
- Bayonne, NJ
- NPI 1164263588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1407501091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "458 AVENUE C",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070025171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "458 AVENUE C",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070025171",
"telephone_number": "201-339-1940",
"fax_number": "201-339-1876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARINA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-13",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "SOLIMAN",
"authorized_official_first_name": "SHERINE",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "201-339-1940"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "MICROMERCHANTPRIMERX",
"affiliation": "N",
"address_1": "458 Avenue C",
"city": "Bayonne",
"state": "NJ",
"country_code": "US",
"postal_code": "070025171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "ST MARINA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.