Active NPI
Carlbert Drugs Inc
Doing business as Buckleys Drug Store
- Pharmacy
- Englewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00419300
- Legal business name
- CARLBERT DRUGS INC
- Doing business as
- Buckleys Drug Store
- Practice address
- 35 E Palisade Ave
Englewood, NJ 07631-2901 - Phone
- (201) 569-1345
- Fax
- (201) 568-5354
- NPI assigned
- Sep 30, 2006
- Last updated
- Aug 3, 2011
- 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
- Gilbert Dominguez, RPH
- Title
- Pic
- Phone
- (201) 569-1365
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 28RS00419300 | NJ | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
35 E Palisade Ave
Englewood, NJ 07631-2901
Mailing address
35 E Palisade Ave
Englewood, NJ 07631-2901
Phone (201) 569-1345
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4399901 | Medicaid | NJ | |
| 3108809 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- BUCKLEYS DRUG STORE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061122000083 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 7618975863 | Practice locations: Englewood, NJ |
| O20101210000373 | NJ | Part B Supplier - Pharmacy | 7618975863 |
1 other NPI on this enrollment Practice locations: Englewood, NJ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Buckley's Drug Store
- Community/Retail Pharmacy
- Englewood, NJ
- NPI 1336415629
O20101210000373
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Buckleys Drug Store | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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
- Englewood, NJ
- NPI 1639187032
-
- Pharmacist
- Englewood, NJ
- NPI 1316249964
-
- Pharmacist
- Englewood, NJ
- NPI 1598835464
-
- Pharmacist
- Englewood, NJ
- NPI 1801605126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1467545897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E PALISADE AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312901",
"telephone_number": "201-569-1345",
"fax_number": "201-568-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E PALISADE AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076312901",
"telephone_number": "201-569-1345",
"fax_number": "201-568-5354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLBERT DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-30",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "GILBERT",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "201-569-1365",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RS00419300",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4399901",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3108809",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BUCKLEYS DRUG STORE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.