709 Ace Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

709 ACE PHARMACY

Practice address

709 Frelinghuysen Ave
Newark, NJ 07114-1304

Phone

(862) 276-3690

Fax

(862) 367-8358

NPI assigned

Apr 14, 2014

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gilady Mordechai

Title

Owner

Phone

(862) 276-3690

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1649699042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 FRELINGHUYSEN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141304",
            "telephone_number": "862-276-3690",
            "fax_number": "862-367-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 FRELINGHUYSEN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071141304",
            "telephone_number": "862-276-3690",
            "fax_number": "862-367-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "709 ACE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "MORDECHAI",
        "authorized_official_first_name": "GILADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-276-3690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448877",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Newark, NJ
• Providers in Newark, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.