Saint Mina & Saint Moses Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00747200 Issued in NJ

Legal business name

SAINT MINA & SAINT MOSES PHARMACY

Doing business as

Well Care Pharmacy

Practice address

779 Broadway
Bayonne, NJ 07002-3943

Phone

(201) 455-8600

Fax

(201) 455-8665

NPI assigned

Feb 29, 2016

Organization subpart

No

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

Authorized official

Name

Nady AzerNPI 1013507060

Title

Owner/Pharmacist

Phone

(201) 455-4785

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Well Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 4

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

• Nady Azer

  • Pharmacist
  • Jersey City, NJ
  • NPI 1013507060
  NPD Authorized official
• Marian Samaan

  • Pharmacist
  • Bayonne, NJ
  • NPI 1013507078
  NPD
• Shady Gad

  • Pharmacist
  • Bayonne, NJ
  • NPI 1235721135
  NPD (past)
• Ibraam S Girgis, PHRAMACIST

  • Pharmacist
  • Bayonne, NJ
  • NPI 1366102345
  NPD (past)

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1528428828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023943",
            "telephone_number": "201-455-8600",
            "fax_number": "201-455-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023943",
            "telephone_number": "201-455-8600",
            "fax_number": "201-455-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MINA & SAINT MOSES PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "NADY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "201-455-4785"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00747200",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158617",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Well Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hooshang Sadeghi, M.D.
• Elia Saeed
• Mina Saeid
• Youstina Safen
• Saint Maria Pharmacy Inc.
• Apolonia M. Salazar, P.T.
• Joseph S. Saleeb, MD, F.A.C.G.S.
• Hala A Salem, BSC PHARM
• Joseph Salib
• Mina Salib, DMD

• Community/Retail Pharmacy in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.