Pan American Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00627800 Issued in NJ

Legal business name

PAN AMERICAN PHARMACY

Practice address

232 60TH St
West New York, NJ 07093-2824

Phone

(201) 861-7966

Fax

(201) 868-7945

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fernando Ignacio Estrems, R.PH.NPI 1700101946

Title

Pharmacist in Charge

Phone

(201) 861-7966

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Fernando Ignacio Estrems, R.PH.

  • Pharmacist
  • West New York, NJ
  • NPI 1700101946
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598847436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932824",
            "telephone_number": "201-861-7966",
            "fax_number": "201-868-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932824",
            "telephone_number": "201-861-7966",
            "fax_number": "201-868-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN AMERICAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ESTREMS",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "201-861-7966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00627800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "3116731",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "28RS00627800",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4268903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dino Pascual, R.N.
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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 Mar 7, 2023; 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.