Organization Active NPI

Jerry's Drug & Surgical

  • Community/Retail Pharmacy
  • Bayonne, NJ
National Provider Identifier
1437573052
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RI02351900 Issued in NJ
Legal business name
JERRY'S DRUG & SURGICAL
Practice address
455 Broadway
Bayonne, NJ 07002-7112
Phone
(201) 725-8951
NPI assigned
Feb 18, 2014
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Amira Melika
Title
Pharmacist
Phone
(201) 725-8951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RI02351900 NJ Primary

Addresses

Primary practice location

455 Broadway
Bayonne, NJ 07002-7112

Mailing address

455 Broadway
Bayonne, NJ 07002-7112
Phone (201) 725-8951

National Provider Directory

National Provider Directory
Tax ID family
Bayonne Pharmacy 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.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1437573052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070027112",
            "telephone_number": "201-725-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070027112",
            "telephone_number": "201-725-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY'S DRUG & SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "MELIKA",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "201-725-8951"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RI02351900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 18, 2014; 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.