Organization Active NPI

GSC Pharmacy Corp

  • Pharmacy
  • Bayonne, NJ
National Provider Identifier
1497855431
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4847 Issued in NJ
Legal business name
GSC PHARMACY CORP
Doing business as
Dittmars Pharmacy
Practice address
924 Broadway
Bayonne, NJ 07002-3034
Phone
(201) 339-0405
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ghazala Shahid Chohan, RPH REGISTERED PHARM
Title
Pharmacist in Charge Owner
Phone
(201) 339-0405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 4847 NJ Primary

Addresses

Primary practice location

924 Broadway
Bayonne, NJ 07002-3034

Mailing address

924 Broadway
Bayonne, NJ 07002-3034
Phone (201) 339-0405

Other identifiers 1

IdentifierTypeStateIssuer
4242505MedicaidNJ

Other names 1

  • Dittmars Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497855431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023034",
            "telephone_number": "201-339-0405",
            "fax_number": "201-339-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023034",
            "telephone_number": "201-339-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSC PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOHAN",
        "authorized_official_first_name": "GHAZALA",
        "authorized_official_middle_name": "SHAHID",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE OWNER",
        "authorized_official_telephone_number": "201-339-0405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH REGISTERED PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "4847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4242505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dittmars Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.