Active NPI
Medimax Pharmacy, Inc.
- Community/Retail Pharmacy
- Phillipsburg, NJ
National Provider Identifier
1649692062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00731000
- Legal business name
- MEDIMAX PHARMACY, INC.
- Doing business as
- Medimax Pharmacy
- Practice address
- 580 Marshall St
Phillipsburg, NJ 08865-2629 - Phone
- (908) 454-4777
- NPI assigned
- Jan 21, 2014
- 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
- Rashid Naveed
- Title
- Pharmacist-in-Charge/Owner
- Phone
- (908) 454-4777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00731000 | NJ | Primary |
Addresses
Primary practice location
580 Marshall St
Phillipsburg, NJ 08865-2629
Mailing address
580 Marshall St
Phillipsburg, NJ 08865-2629
Phone (908) 454-4777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2143895 | Other | PK |
Other names 1
- Medimax Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140827001123 | NJ | DME Supplier - Pharmacy | 2567680986 | Practice locations: Phillipsburg, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medimax Pharmacy Inc. | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
580 Marshall St
Phillipsburg, NJ 08865
Phone (908) 454-4777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411948800000",
"number": "1649692062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 MARSHALL ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088652629",
"telephone_number": "908-454-4777",
"fax_number": "908-454-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 MARSHALL ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088652629",
"telephone_number": "908-454-4777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIMAX PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-21",
"last_updated": "2014-09-29",
"status": "A",
"authorized_official_last_name": "NAVEED",
"authorized_official_first_name": "RASHID",
"authorized_official_title_or_position": "PHARMACIST-IN-CHARGE/OWNER",
"authorized_official_telephone_number": "908-454-4777"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00731000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2143895",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medimax Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.