Active NPI
Contigo Pharmacy Wny Corp
- Community/Retail Pharmacy
- West New York, NJ
National Provider Identifier
1487424669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CONTIGO PHARMACY WNY CORP
- Practice address
- 5408 Bergenline Ave
West New York, NJ 07093-4622 - Phone
- (201) 940-8882
- Fax
- (201) 940-8887
- NPI assigned
- Jan 8, 2024
- 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
- Jeanette Martinez, PHARM.D
- Title
- Pharmacist in Charge
- Phone
- (201) 940-8882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
5408 Bergenline Ave
West New York, NJ 07093-4622
Mailing address
5408 Bergenline Ave
West New York, NJ 07093-4622
Phone (201) 940-8882
Other names 1
- Contigo Pharmacy WNY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240220000254 | NJ | Part B Supplier - Pharmacy | 2264876168 | Practice locations: West New York, NJ |
National Provider Directory
National Provider DirectoryLocations
5408 Bergenline Ave
West New York, NJ 07093
Phone (201) 940-8882
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Union City, NJ
- NPI 1578964334
-
- Pharmacist
- Union City, NJ
- NPI 1467935528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704672000000",
"number": "1487424669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5408 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070934622",
"telephone_number": "201-940-8882",
"fax_number": "201-940-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5408 BERGENLINE AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070934622",
"telephone_number": "201-940-8882",
"fax_number": "201-940-8887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONTIGO PHARMACY WNY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "JEANETTE",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "201-940-8882",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Contigo Pharmacy WNY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.