Organization Active NPI

Paterson Pharmacy LLC

  • Community/Retail Pharmacy
  • Paterson, NJ
National Provider Identifier
1477417897
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PATERSON PHARMACY LLC
Practice address
693 E 18TH St
Paterson, NJ 07501-2375
Phone
(973) 925-7757
Fax
(973) 925-7758
NPI assigned
Dec 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Susana Jiang, MS.
Title
President
Phone
(917) 992-2368

Specialties & licenses 1

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

Addresses

Primary practice location

693 E 18TH St
Paterson, NJ 07501-2375

Mailing address

325 84TH St
Brooklyn, NY 11209-4406
Phone (917) 992-2368

National Provider Directory

National Provider Directory

Locations

693 E 18th St
Paterson, NJ 07501
Phone (973) 925-7757

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1477417897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094406",
            "telephone_number": "917-992-2368",
            "fax_number": "973-925-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 E 18TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012375",
            "telephone_number": "973-925-7757",
            "fax_number": "973-925-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATERSON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "JIANG",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-992-2368",
        "authorized_official_credential": "MS."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.