Organization Active NPI

Medimax Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Phillipsburg, NJ
National Provider Identifier
1649692062
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00731000 Issued in NJ
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

Updated by the provider on Sep 29, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2143895OtherPK

Other names 1

  • Medimax Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140827001123 NJ DME Supplier - Pharmacy 2567680986 Practice locations: Phillipsburg, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Medimax Pharmacy Inc.580 Marshall St, Phillipsburg, NJ 08865-2629(908) 454-4777 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jun 13, 2014

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.