Ohm Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00577300 Issued in NJ

Legal business name

OHM PHARMACY, LLC

Doing business as

Gerard's Pharmacy

Practice address

5001 Bergenline Ave
West New York, NJ 07093-5600

Phone

(201) 863-4882

Fax

(201) 863-6476

NPI assigned

Jul 27, 2006

Last updated

Jun 16, 2008By 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

Mr. Willoughby Lloyd, RPH

Title

Registered Pharmacist

Phone

(201) 863-4882

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Gerard's Pharmacy Doing business as

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1558385138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935600",
            "telephone_number": "201-863-4882",
            "fax_number": "201-863-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935600",
            "telephone_number": "201-863-4882",
            "fax_number": "201-863-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "WILLOUGHBY",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "201-863-4882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00577300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3122431",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOP",
            "identifier": "28RS00577300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerard's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in West New York, NJ
• Providers in West New York, 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 Jun 16, 2008; 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.