Organization Active NPI

Selmar Drug Co

  • Pharmacy
  • Bloomfield, NJ
National Provider Identifier
1477586923
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00030200 Issued in NJ
Legal business name
SELMAR DRUG CO
Practice address
20 Broad St
Bloomfield, NJ 07003
Phone
(973) 748-8296
Fax
(973) 566-9043
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mr. Harry Bart Cagin, RPHNPI 1346565918
Title
President
Phone
(973) 748-8296

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00030200 NJ Primary

Addresses

Primary practice location

20 Broad St
Bloomfield, NJ 07003

Mailing address

20 Broad St
Center Drug Store
Bloomfield, NJ 07003
Phone (973) 748-8296

Other identifiers 1

IdentifierTypeStateIssuer
4240201MedicaidNJ

Other names 1

  • Center Drug Store Doing business as

National Provider Directory

National Provider Directory

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1477586923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BROAD ST",
            "address_2": "CENTER DRUG STORE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-748-8296",
            "fax_number": "973-566-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BROAD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-748-8296",
            "fax_number": "973-566-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMAR DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "CAGIN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-748-8296",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00030200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4240201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.