Active NPI
Hudacko'S Pharmacy Inc
- Community/Retail Pharmacy
- Bayonne, NJ
National Provider Identifier
1578075677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HUDACKO'S PHARMACY INC
- Practice address
- 861 Broadway
Bayonne, NJ 07002-3031 - Phone
- (201) 436-4488
- NPI assigned
- Oct 30, 2017
- 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
- Peter Halecky
- Title
- Owner
- Phone
- (201) 436-4488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
861 Broadway
Bayonne, NJ 07002-3031
Mailing address
861 Broadway
Bayonne, NJ 07002-3031
Phone (201) 436-4488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033774 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bayonne, NJ
- NPI 1609524040
-
- Pharmacist
- Bayonne, NJ
- NPI 1700534146
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bayonne, NJ
- NPI 1356099576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1578075677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023031",
"telephone_number": "201-436-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023031",
"telephone_number": "201-436-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDACKO'S PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-30",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "HALECKY",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-436-4488"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0033774",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.