Park Ave Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00710100 Issued in NJ

Legal business name

PARK AVE DRUGS LLC

Practice address

107 Park Ave
Paterson, NJ 07501-2328

Phone

(973) 928-8888

Fax

(973) 742-0806

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Abdulmajeed HozienNPI 1396020293

Title

Pharmacist

Phone

(973) 928-8888

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Park Ave Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdulmajeed Ismail Hozien

  • Pharmacist
  • Wayne, NJ
  • NPI 1396020293
  NPD Authorized official

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1497052245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012328",
            "telephone_number": "305-928-8888",
            "fax_number": "973-742-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PARK AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012328",
            "telephone_number": "973-928-8888",
            "fax_number": "973-742-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVE DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "HOZIEN",
        "authorized_official_first_name": "ABDULMAJEED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "973-928-8888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00710100",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276014",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Ave Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Park Dental New Jersey PC
• Park Medico Center
• Ha Rin Park
• Parkview Pediatric Group, P.C.

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.