Organization Active NPI

Epic Pharmacy

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1659174704
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EPIC PHARMACY
Practice address
290 Elizabeth Ave Ste 20
Newark, NJ 07112-2706
Phone
(800) 395-6577
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Maxwell Atta
Title
Director
Phone
(800) 395-6577

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

290 Elizabeth Ave Ste 20
Newark, NJ 07112-2706

Mailing address

290 Elizabeth Ave Ste 20
Newark, NJ 07112-2706
Phone (800) 395-6577

National Provider Directory

National Provider Directory

Locations

290 Elizabeth Ave
Ste 20
Newark, NJ 07112
Phone (800) 395-6577

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1659174704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ELIZABETH AVE STE 20",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122706",
            "telephone_number": "800-395-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ELIZABETH AVE STE 20",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122706",
            "telephone_number": "800-395-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "ATTA",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-395-6577"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.