Organization Active NPI

Giselle Pharmacy LLC

Doing business as Giselle Pharmacy

  • Community/Retail Pharmacy
  • Union City, NJ
National Provider Identifier
1518909324
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00655200 Issued in NJ
Legal business name
GISELLE PHARMACY LLC
Doing business as
Giselle Pharmacy
Practice address
3406 Bergenline Ave
Union City, NJ 07087-3922
Phone
(201) 864-7100
Fax
(201) 864-7101
NPI assigned
Jun 13, 2006
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Amir Tadros
Title
Pic
Phone
(201) 864-7100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0101974 NJ
Community/Retail Pharmacy 3336C0003X 28RS00655200 NJ Primary

Addresses

Primary practice location

3406 Bergenline Ave
Union City, NJ 07087-3922

Mailing address

3406 Bergenline Ave
Union City, NJ 07087-3922

Other identifiers 2

IdentifierTypeStateIssuer
3193290OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0101966MedicaidNJ

Other names 1

  • Giselle Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3406 Bergenline Ave
Union City, NJ 07087
Phone (201) 590-9040

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1518909324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873922",
            "telephone_number": "201-864-7100",
            "fax_number": "201-864-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GISELLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "201-864-7100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "0101974",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00655200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3193290",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101966",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Giselle Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.