St Paul Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ST PAUL PHARMACY LLC

Practice address

123 Grove St
Montclair, NJ 07042-4021

Phone

(973) 744-0030

Fax

(973) 744-0070

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Wael Isaac

Title

Ceo

Phone

(718) 210-6113

Specialties & licenses 1

Addresses

Other names 1

• BETTER LIFE GROVE LTC Other name

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1619790623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424021",
            "telephone_number": "973-744-0030",
            "fax_number": "973-744-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424021",
            "telephone_number": "973-744-0030",
            "fax_number": "973-744-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-210-6113"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BETTER LIFE GROVE LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Speech Genie Therapeutic Services
• Elaine Spieler
• Sportika Parabolic, LLC
• Silke Springorum
• St Paul Pharmacy LLC (Grove pharmacy)
• Stepan Staffen, LMT
• Leigh Ann Stagliano Tedesco, LCSW
• Jennifer Lorraine Stang, L.AC
• Allison Susan Stanton, LCSW
• Brendan Nicholas Stanzione, PT, DPT

• Long Term Care Pharmacy in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.