Organization Active NPI

Tonys Pharmacy Inc.

  • Community/Retail Pharmacy
  • Paterson, NJ
National Provider Identifier
1538144787
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00566500 Issued in NJ
Legal business name
TONYS PHARMACY INC.
Practice address
534 21St Ave
Paterson, NJ 07513-1337
Phone
(973) 742-6655
Fax
(973) 742-7741
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Mr. Antonio Orestes Rodriguez
Title
President
Phone
(973) 742-6655

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 28RS00566500 NJ
Pharmacy 333600000X 28RS00566500 NJ
Community/Retail Pharmacy 3336C0003X 28RS00566500 NJ Primary
Compounding Pharmacy 3336C0004X 28RS00566500 NJ

Addresses

Primary practice location

534 21St Ave
Paterson, NJ 07513-1337

Mailing address

534 21St Ave
Paterson, NJ 07513-1337
Phone (973) 742-6655

Other identifiers 2

IdentifierTypeStateIssuer
7829809MedicaidNJ
7829817MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1538144787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131337",
            "telephone_number": "973-742-6655",
            "fax_number": "973-742-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075131337",
            "telephone_number": "973-742-6655",
            "fax_number": "973-742-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONYS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "ORESTES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-742-6655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00566500",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00566500",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00566500",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RS00566500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7829809",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7829817",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.