Health Smart Pharmacy & Convenience Store LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00762600 Issued in NJ

Legal business name

HEALTH SMART PHARMACY & CONVENIENCE STORE LLC

Practice address

2709 John F Kennedy Blvd
Jersey City, NJ 07306-5763

Phone

(201) 360-3784

Fax

(201) 360-3747

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Vea Cayaba-Wong

Title

Owner

Phone

(201) 993-3325

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Health Smart Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivian Kabariti, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1255920229
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1578050357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065763",
            "telephone_number": "201-360-3784",
            "fax_number": "201-360-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065763",
            "telephone_number": "201-360-3784",
            "fax_number": "201-360-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SMART PHARMACY & CONVENIENCE STORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "CAYABA-WONG",
        "authorized_official_first_name": "VEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-993-3325"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00762600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177414",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Smart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, 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 19, 2018; 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.