Organization Active NPI

Empire Specialty Pharmacy

  • Mail Order Pharmacy
  • West New York, NJ
National Provider Identifier
1639688351
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
28RS00716000
Legal business name
EMPIRE SPECIALTY PHARMACY
Practice address
6509 Bergenline Ave
West New York, NJ 07063
Phone
(201) 758-7800
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Authorized official

Name
Mr. Edward Shtindler
Title
Ceo
Phone
(201) 758-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X 28RS00716000 Primary

Addresses

Primary practice location

6509 Bergenline Ave
West New York, NJ 07063

Mailing address

6509 Bergenline Ave
West New York, NJ 07093
Phone (201) 758-7800

Other identifiers 1

IdentifierTypeStateIssuer
0285889MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Empire Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1639688351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-758-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07063",
            "telephone_number": "201-758-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "SHTINDLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-758-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": "28RS00716000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285889",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.