Active NPI
Jersey Chemists Inc
- Long Term Care Pharmacy
- Newark, NJ
National Provider Identifier
1407517618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- JERSEY CHEMISTS INC
- Practice address
- 433 Elizabeth Ave
Newark, NJ 07112 - Phone
- (973) 368-2925
- NPI assigned
- Jan 10, 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
- William Yankovich
- Title
- Owner
- Phone
- (917) 916-8757
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
433 Elizabeth Ave
Newark, NJ 07112
Mailing address
433 Elizabeth Ave
Newark, NJ 07112
Phone (973) 368-2925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220812002118 | NJ | DME Supplier - Pharmacy | 5991188609 | Practice locations: Newark, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Jersey Chemists Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Newark, NJ
- NPI 1578309928
Locations
433 Elizabeth Ave
Newark, NJ 07112
Phone (973) 368-2925
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Brooklyn, NY
- NPI 1487001731
-
- Pharmacist
- Flushing, NY
- NPI 1255887451
-
- Physical Therapist
- Forest Hills, NY
- NPI 1801196811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1407517618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 ELIZABETH AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "973-368-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 ELIZABETH AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "973-368-2925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY CHEMISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-10",
"last_updated": "2024-07-12",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "YANKOVICH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-916-8757"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.