Organization Active NPI

Carepoint Pharmacy Perth Amboy LLC

Doing business as Cedenos Pharmacy

  • Community/Retail Pharmacy
  • Perth Amboy, NJ
National Provider Identifier
1497760003
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00568400 Issued in NJ
Legal business name
CAREPOINT PHARMACY PERTH AMBOY LLC
Doing business as
Cedenos Pharmacy
Practice address
400 State St
Perth Amboy, NJ 08861-3486
Phone
(732) 442-4478
Fax
(732) 442-3376
NPI assigned
Jul 30, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Snehal ShahNPI 1043228257
Title
Member
Phone
(732) 442-4478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00568400 NJ Primary

Addresses

Primary practice location

400 State St
Perth Amboy, NJ 08861-3486

Mailing address

400 State St
Perth Amboy, NJ 08861-3486
Phone (732) 442-4478

Other identifiers 1

IdentifierTypeStateIssuer
2160206OtherPK

Other names 1

  • Cedenos Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161007000306 NJ DME Supplier - Pharmacy 5092003038 Practice locations: Perth Amboy, NJ
O20161013000975 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 5092003038 Practice locations: Perth Amboy, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2198179Cedenos Pharmacy400 State St, Perth Amboy, NJ 08861Certificate of waiverOct 29, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Carepoint Pharmacy Perth Amboy LLC400 State St, Perth Amboy, NJ 08861-3486(732) 442-4478 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 21, 2016

National Provider Directory

National Provider Directory

Locations

400 State St
Ste 1
Perth Amboy, NJ 08861
Phone (732) 442-4478

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1497760003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613486",
            "telephone_number": "732-442-4478",
            "fax_number": "732-442-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STATE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613486",
            "telephone_number": "732-442-4478",
            "fax_number": "732-442-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPOINT PHARMACY PERTH AMBOY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SNEHAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-442-4478"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00568400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedenos Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.