Organization Active NPI

Cliffside Park Pharmacy LLC

  • Community/Retail Pharmacy
  • Cliffside Park, NJ
National Provider Identifier
1619295664
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00703300 Issued in NJ
Legal business name
CLIFFSIDE PARK PHARMACY LLC
Practice address
337 Palisade Ave
Cliffside Park, NJ 07010-2789
Phone
(551) 313-8382
Fax
(201) 313-9714
NPI assigned
May 13, 2010
Last updated
Oct 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Ann Flamm
Title
Compliance
Phone
(678) 661-4279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00703300 NJ Primary

Addresses

Primary practice location

337 Palisade Ave
Cliffside Park, NJ 07010-2789

Mailing address

337 Palisade Ave
Cliffside Park, NJ 07010-2789
Phone (551) 313-8382

Other identifiers 1

IdentifierTypeStateIssuer
28RS00703300OtherNJPHARMACY PERMIT NUMBER

Other names 1

  • Cliffside Park Pharmacy Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1619295664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 PALISADE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102789",
            "telephone_number": "551-313-8382",
            "fax_number": "201-313-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 PALISADE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102789",
            "telephone_number": "551-313-8382",
            "fax_number": "201-313-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFSIDE PARK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "FLAMM",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "678-661-4279"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00703300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT NUMBER",
            "identifier": "28RS00703300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cliffside Park Pharmacy Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.