Organization Active NPI

Newark New Pharmacy LLC

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1497357149
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NEWARK NEW PHARMACY LLC
Practice address
13 William St
Newark, NJ 07102
Phone
(973) 500-3660
Fax
(973) 500-3666
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Mr. Metry Habashy
Title
Pharmacy Owner
Phone
(201) 388-4667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

13 William St
Newark, NJ 07102

Mailing address

13 William St
Newark, NJ 07102
Phone (973) 500-3660

Other identifiers 1

IdentifierTypeStateIssuer
28RS00780900OtherNJBOARD OF PHARMACY

Other names 1

  • Newark Rx Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

13 William St
Newark, NJ 07102
Phone (973) 500-3660

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1497357149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-500-3660",
            "fax_number": "973-500-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07102",
            "telephone_number": "973-500-3660",
            "fax_number": "973-500-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK NEW PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "HABASHY",
        "authorized_official_first_name": "METRY",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "201-388-4667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "28RS00780900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newark Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.