Health Fair Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00612500 Issued in NJ

Legal business name

HEALTH FAIR PHARMACY CORP

Doing business as

HEALTH FAIR PHARMACY

Practice address

315 Willow Ave
Hoboken, NJ 07030-7920

Phone

(201) 222-6968

Fax

(201) 222-6852

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Venkata Raju, RPH

Title

Pic and Owner

Phone

(201) 222-6968

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HEALTH FAIR PHARMACY Doing business as

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1578629457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070307920",
            "telephone_number": "201-222-6968",
            "fax_number": "201-222-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070307920",
            "telephone_number": "201-222-6968",
            "fax_number": "201-222-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH FAIR PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "RAJU",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "PIC AND OWNER",
        "authorized_official_telephone_number": "201-222-6968",
        "authorized_official_credential": "RPH"
    },
    "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": "28RS00612500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931402",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH FAIR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samaa Hassanien, DO
• Ashlee Nikole Hawkins, OTR/L
• Sally M Hawkins, DPT
• Kathleen Hayes
• Leandra Haynes
• Health Fair RX Inc
• Health Fair RX Inc
• Health Wise Women
• Healthy Headspace LLC
• Erin Mary Heaslip, MT-BC

• Community/Retail Pharmacy in Hoboken, NJ
• Providers in Hoboken, 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 May 26, 2016; 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.