Active NPI
GSC Pharmacy Corp
- Pharmacy
- Bayonne, NJ
National Provider Identifier
1497855431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 4847
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4242505 | Medicaid | NJ |
Other names 1
- Dittmars Pharmacy
National Provider Directory
National Provider DirectoryNPI 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.