Organization Active NPI

Eagle Rock Pharmacy LLC

Doing business as Eagle Rock Pharmacy

  • Community/Retail Pharmacy
  • West Orange, NJ
National Provider Identifier
1649832684
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EAGLE ROCK PHARMACY LLC
Doing business as
Eagle Rock Pharmacy
Practice address
470 Pleasant Valley Way
West Orange, NJ 07052-2802
Phone
(973) 500-4430
NPI assigned
Jun 30, 2019
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Muhammad Bilal AkramNPI 1639873607
Title
Owner
Phone
(929) 228-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

470 Pleasant Valley Way
West Orange, NJ 07052-2802

Mailing address

470 Pleasant Valley Way
West Orange, NJ 07052-2802

Other names 1

  • Eagle Rock Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200129002547 NJ Part B Supplier - Pharmacy 4082040670 Practice locations: West Orange, NJ
O20250130001036 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4082040670 Practice locations: West Orange, NJ

National Provider Directory

National Provider Directory

Locations

470 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 500-4430

Practitioners & affiliated clinicians

Practitioners 3

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": "1561852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1649832684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522802",
            "telephone_number": "973-500-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE ROCK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-30",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "AKRAM",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "BILAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-228-8822"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Rock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle Rock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.