Organization Active NPI

Good Health Pharmacy

  • Community/Retail Pharmacy
  • Belleville, NJ
National Provider Identifier
1457417727
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00402700 Issued in NJ
Legal business name
GOOD HEALTH PHARMACY
Doing business as
Good Health Pharmacy
Practice address
530 Joralemon St
Belleville, NJ 07109-1844
Phone
(973) 759-2761
Fax
(973) 759-8322
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
William LynchNPI 1700906468
Title
Owner
Phone
(973) 759-2761

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00402700 NJ Primary

Addresses

Primary practice location

530 Joralemon St
Belleville, NJ 07109-1844

Mailing address

530 Joralemon St
Belleville, NJ 07109-1844
Phone (973) 759-2761

Other identifiers 2

IdentifierTypeStateIssuer
4389506MedicaidNJ
2057956OtherPK

Other names 1

  • GOOD HEALTH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930091287 NJ DME Supplier - Pharmacy 3072634138 Practice locations: Belleville, NJ
O20160128002631 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 3072634138 Practice locations: Belleville, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Good Health Pharmacy530 Joralemon St, Belleville, NJ 07109-1844(973) 759-2761 Nebulizer Drugs Accepts assignmentParticipating since Jun 1, 1996

National Provider Directory

National Provider Directory

Locations

530 Joralemon St
Belleville, NJ 07109
Phone (973) 759-2761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1457417727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 JORALEMON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091844",
            "telephone_number": "973-759-2761",
            "fax_number": "973-759-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 JORALEMON ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091844",
            "telephone_number": "973-759-2761",
            "fax_number": "973-759-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-759-2761"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00402700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4389506",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2057956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.