Organization Active NPI

SLM Pharmacy Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1508972068
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00672900 Issued in NJ
Legal business name
SLM PHARMACY INC
Practice address
325 7TH St
Jersey City, NJ 07302-1802
Phone
(201) 653-8378
Fax
(201) 653-9909
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Andrew N HannaNPI 1740959873
Title
President
Phone
(733) 710-7673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00672900 NJ Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

325 7TH St
Jersey City, NJ 07302-1802

Mailing address

325 7TH St
Jersey City, NJ 07302-1802
Phone (201) 653-8378

Other identifiers 1

IdentifierTypeStateIssuer
8871817MedicaidNJ

Other names 1

  • MASTROLIA 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
O20100930084383 NJ DME Supplier - Pharmacy 3375748346 Practice locations: Jersey City, NJ
O20230626000753 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 3375748346 Practice locations: Jersey City, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
SLM Pharmacy Inc325 7TH St, Jersey City, NJ 07302-1802(201) 653-8378 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Jul 30, 2007

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

325 7th St
Jersey City, NJ 07302
Phone (201) 653-8378

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1508972068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 7TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021802",
            "telephone_number": "201-653-8378",
            "fax_number": "201-653-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 7TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021802",
            "telephone_number": "201-653-8378",
            "fax_number": "201-653-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "733-710-7673"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00672900",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8871817",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASTROLIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MASTROLIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.