PB Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00395700 Issued in NJ

Legal business name

PB PHARMACY

Practice address

222 Union Avenue
Paterson, NJ 07502

Phone

(973) 942-7329

Fax

(973) 942-4647

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Amit Patel

Title

Owner

Phone

(732) 688-6160

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Cortese Pharmacy Doing business as

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1629094255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 UNION AVENUE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07502",
            "telephone_number": "973-942-7329",
            "fax_number": "973-942-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 UNION AVENUE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "07502",
            "telephone_number": "973-942-7329",
            "fax_number": "973-942-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-688-6160",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "28RS00395700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060209",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4299809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cortese Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pathmark Stores Inc
• Jennifer Patuto, CNM
• Paul F Fulford PHD PA
• Paul F Fulford PHD PA
• Pedro R Paulino
• Donna A Pearce, M.D.
• Pediatric Associates of Paterson
• Diana I Pekisheva, PSYCH NP
• Michael Alexander Pelidis, MD
• Kim Pellegrino, RPH

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, 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 11, 2020; 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.