Active NPI
Selmar Drug Co
- Pharmacy
- Bloomfield, NJ
National Provider Identifier
1477586923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00030200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Harry Bart Cagin, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4240201 | Medicaid | NJ |
Other names 1
- Center Drug Store
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bloomfield, NJ
- NPI 1346565918
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.