McDermott Drug Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00627000 Issued in NJ

Legal business name

MCDERMOTT DRUG CORP

Doing business as

McDermott Pharmacy

Practice address

433 Union Ave
Paterson, NJ 07502-1917

Phone

(973) 790-8486

Fax

(973) 790-3315

NPI assigned

Jun 13, 2006

Last updated

Apr 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amit Datwani

Title

President

Phone

(973) 790-8486

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MCDERMOTT PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1558303339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 UNION AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021917",
            "telephone_number": "973-790-8486",
            "fax_number": "973-790-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 UNION AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021917",
            "telephone_number": "973-790-8486",
            "fax_number": "973-790-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDERMOTT DRUG CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "DATWANI",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-790-8486"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00627000",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016233",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058221",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCDERMOTT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louisa Mazza-Hilway, MD
• Diane E McClure, CPNP
• Renee Sherika McCormack-Dunbar, APRN
• Gordon L McCrae, CCMA
• Robert McCunney, MD
• Andre L McEntyre, LCADC, MSW
• Terrance McGovern, D.O.
• Michael McIntosh
• Kelly McIntyre, APN-BC
• Aeisha McLeod-Robinson

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, 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 Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.