Organization Active NPI

St Cyrill Pharmacy LLC

  • Community/Retail Pharmacy
  • Elizabeth, NJ
National Provider Identifier
1518609262
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ST CYRILL PHARMACY LLC
Doing business as
ALEXANDRIA PHARMACY
Practice address
327 N Broad St
Elizabeth, NJ 07208-3704
Phone
(908) 469-9653
NPI assigned
Apr 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Maryanne Abdelnoor
Title
Pic
Phone
(908) 469-9653

Specialties & licenses 1

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

Addresses

Primary practice location

327 N Broad St
Elizabeth, NJ 07208-3704

Mailing address

327 N Broad St
Elizabeth, NJ 07208-3704
Phone (908) 469-9653

Other names 1

  • ALEXANDRIA 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": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1518609262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083704",
            "telephone_number": "908-469-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N BROAD ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083704",
            "telephone_number": "908-469-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CYRILL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "ABDELNOOR",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "908-469-9653"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALEXANDRIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.