Organization Active NPI

Ez Pharmacy Inc

  • Community/Retail Pharmacy
  • Hackensack, NJ
National Provider Identifier
1538656582
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00763900 Issued in NJ
Legal business name
EZ PHARMACY INC
Doing business as
Pharmacy Plus & Surgical Supplies
Practice address
256 Main St
Hackensack, NJ 07601-5703
Phone
(201) 968-5960
Fax
(201) 968-5261
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Eduard Ilyasov
Title
Pic
Phone
(201) 968-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00763900 NJ Primary

Addresses

Primary practice location

256 Main St
Hackensack, NJ 07601-5703

Mailing address

256 Main St
Hackensack, NJ 07601-5703
Phone (201) 968-5260

Other names 1

  • Pharmacy Plus & Surgical Supplies Doing business as

National Provider Directory

National Provider Directory

Locations

256 Main St
Hackensack, NJ 07601

57 Linden St
Hackensack, NJ 07601
Phone (201) 968-5260

Practitioners & affiliated clinicians

Practitioners 1

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": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1538656582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015703",
            "telephone_number": "201-968-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015703",
            "telephone_number": "201-968-5960",
            "fax_number": "201-968-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "ILYASOV",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "201-968-5260"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00763900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmacy Plus & Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.