Active NPI
New Lucy's Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- Passaic, NJ
National Provider Identifier
1487163408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 28RS00681100
- Legal business name
- NEW LUCY'S PHARMACY INC
- Practice address
- 286-288 Monroe St
Passaic, NJ 07055-5271 - Phone
- (973) 778-4495
- Fax
- (973) 778-2746
- NPI assigned
- Sep 21, 2017
- Last updated
- Sep 21, 2017
- Organization subpart
- Yes
- Parent organization
- NEW LUCY'S PHARMACY INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samir M Awad
- Title
- President
- Phone
- (973) 778-4495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 28RS00681100 | NJ | Primary |
Addresses
Primary practice location
286-288 Monroe St
Passaic, NJ 07055-5271
Mailing address
286-288 Monroe St
Passaic, NJ 07055-5271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0536920 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- New Lucy's Pharmacy Inc
- Part of
- New Lucy's Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Passaic, NJ
- NPI 1992843155
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Passaic, NJ
- NPI 1992843155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505952000000",
"number": "1487163408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286-288 MONROE ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286-288 MONROE ST",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070555271",
"telephone_number": "973-778-4495",
"fax_number": "973-778-2746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LUCY'S PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW LUCY'S PHARMACY INC.",
"enumeration_date": "2017-09-21",
"last_updated": "2017-09-21",
"status": "A",
"authorized_official_last_name": "AWAD",
"authorized_official_first_name": "SAMIR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-778-4495"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "28RS00681100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0536920",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.