Elmora Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ELMORA PHARMACY, INC.

Practice address

162 Elmora Ave
Elizabeth, NJ 07202-1148

Phone

(908) 352-8808

Fax

(908) 352-5621

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Benjamin Hertz

Title

Store Manager

Phone

(908) 352-8808

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Elmora Healthcare Doing business as

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558880252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021148",
            "telephone_number": "908-352-8808",
            "fax_number": "908-352-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021148",
            "telephone_number": "908-352-8808",
            "fax_number": "908-352-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMORA PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "908-352-8808"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2526301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmora Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neveen A. Elkholy, D.O.
• Souhaib Elkoun
• Robert Elliott, RPH
• Elmora Hills Health & Rehabilitation Center,LLC
• Elmora Pharmacy, Inc.
• Elmora RX Pharmacy LLC
• Tamara Rachel Elstein, MS OT
• Rony Elyahouzadeh, DDS
• Empowerment & Growth Consulting LLC
• Joi A Ennis, NP

• Community/Retail Pharmacy in Elizabeth, NJ
• Providers in Elizabeth, 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 Jul 21, 2022; 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.