Active NPI
Ez Pharmacy Inc
- Community/Retail Pharmacy
- Hackensack, NJ
National Provider Identifier
1538656582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00763900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Hackensack, NJ
- NPI 1033785902
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.