Organization Active NPI

GDN Pharmacy, LLC

Doing business as Jays Pharmacy

  • Community/Retail Pharmacy
  • Oradell, NJ
National Provider Identifier
1649212424
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00485200 Issued in NJ
Legal business name
GDN PHARMACY, LLC
Doing business as
Jays Pharmacy
Jay's Pharmacy
Practice address
223 Kinderkamack Rd
Oradell, NJ 07649-2129
Phone
(201) 262-1800
Fax
(201) 262-1596
NPI assigned
Jun 13, 2006
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Gregg Negrini, BS PHARMCY
Title
Pharmacist/Owner
Phone
(201) 870-9453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00485200 NJ Primary

Addresses

Primary practice location

223 Kinderkamack Rd
Oradell, NJ 07649-2129

Mailing address

223 Kinderkamack Rd
Oradell, NJ 07649-2129
Phone (201) 262-1800

Other identifiers 2

IdentifierTypeStateIssuer
4247906MedicaidNJ
3113317OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 2

  • JAYS PHARMACY Doing business as
  • Jay's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211004002928 NJ Part B Supplier - Pharmacy 8426459934 Practice locations: Oradell, NJ

National Provider Directory

National Provider Directory

Locations

223 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 262-1800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1649212424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492129",
            "telephone_number": "201-262-1800",
            "fax_number": "201-262-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 KINDERKAMACK RD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492129",
            "telephone_number": "201-262-1800",
            "fax_number": "201-262-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "NEGRINI",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "201-870-9453",
        "authorized_official_credential": "BS  PHARMCY"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00485200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4247906",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3113317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JAYS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jay's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oradell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.

Verify at the official NPI Registry.