Active NPI
Atj Enterprise Inc.
- Community/Retail Pharmacy
- Staten Island, NY
National Provider Identifier
1629785845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ATJ ENTERPRISE INC.
- Doing business as
- Roseview Pharmacy
- Practice address
- 1077 Bay St Ste 6
Staten Island, NY 10305-4918 - Phone
- (718) 885-4260
- Fax
- (845) 648-3411
- NPI assigned
- Oct 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kok Timmy Lang, PHARM.D
- Title
- Owner
- Phone
- (347) 893-4227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1077 Bay St Ste 6
Staten Island, NY 10305-4918
Mailing address
93 Lynhurst Ave
Staten Island, NY 10305-1808
Phone (347) 893-4227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039876 | Other | NY | STATE BOARD OF PHARMACY |
Other names 1
- Roseview Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230403000937 | NY | Part B Supplier - Pharmacy | 6608241799 | Practice locations: Staten Island, NY |
| O20230523002811 | NY | DME Supplier - Pharmacy | 6608241799 | Practice locations: Staten Island, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Atj Enterprise Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Staten Island, NY
- NPI 1437986536
Locations
1077 Bay St
Ste 6
Staten Island, NY 10305
Phone (718) 885-4260
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Brooklyn, NY
- NPI 1487803672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666915200000",
"number": "1629785845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 LYNHURST AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103051808",
"telephone_number": "347-893-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 BAY ST STE 6",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054918",
"telephone_number": "718-885-4260",
"fax_number": "845-648-3411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATJ ENTERPRISE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-28",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "KOK TIMMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-893-4227",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "039876",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Roseview Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.