Jersey Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00632600 Issued in NJ

Legal business name

JERSEY APOTHECARY INC

Doing business as

Jersey Drugs

Practice address

286 Central Ave
Jersey City, NJ 07307-3013

Phone

(201) 656-4392

Fax

(201) 420-8399

NPI assigned

Dec 22, 2005

Last updated

Jul 24, 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

Dave TanNPI 1780099036

Title

President

Phone

(973) 943-1231

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jersey Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Jersey Apothecary Inc2 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.

• Jersey Apothecary Inc

  dba Jersey Drugs

  • Community/Retail Pharmacy
  • Jersey City, NJ
  • NPI 1487456828
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jersey Apothecary Inc

  dba Jersey Drugs

  • Community/Retail Pharmacy
  • Jersey City, NJ
  • NPI 1487456828
  NPPES parent name

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.

• Dave Tan

  • Pharmacist
  • Jersey City, NJ
  • NPI 1780099036
  NPD Authorized official
• John Gerbasio, R.PH.

  • Pharmacist
  • Jersey City, NJ
  • NPI 1770700882
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1407833122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073013",
            "telephone_number": "201-656-4392",
            "fax_number": "201-420-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 CENTRAL AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073013",
            "telephone_number": "201-656-4392",
            "fax_number": "201-420-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-943-1231"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00632600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143467",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414310",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Jeanfrancois
• Yana Jeffers, N.P.
• Cyteria Jenkins
• Jenny Cam M.D. PC
• Angela Jeon
• Jersey Apothecary Inc (Jersey Drugs)
• Jersey Care Management LLC
• Jersey City Center for Othopaedic Injuries LLC
• Jersey City Community Charter School
• Jersey City Connections, Inc

• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, 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 Jul 24, 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.