Pgees Pharmacy & Surgical

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS0724300 Issued in NJ

Legal business name

PGEES PHARMACY & SURGICAL

Practice address

658 Springfield Ave
Newark, NJ 07103-1011

Phone

(973) 371-1500

Fax

(973) 371-1502

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

Patience Abusomwan

Title

BSC Pharmacy

Phone

(973) 371-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pgees Pharmacy & Surgical Doing business as

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1659611127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 SPRINGFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031011",
            "telephone_number": "973-371-1500",
            "fax_number": "973-371-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 SPRINGFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071031011",
            "telephone_number": "973-371-1500",
            "fax_number": "973-371-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGEES PHARMACY & SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "ABUSOMWAN",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_title_or_position": "BSC PHARMACY",
        "authorized_official_telephone_number": "973-371-1500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS0724300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3199418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pgees Pharmacy & Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ruth Petrakakos, RN
• Christine Petrick, LAC, NCC, ATR-P
• Georgios Petrides, M.D.
• Luka Petrovic, M.D.
• Kenneth Peyser, DO
• Hoa Pham, MD, PHD
• Mary T. Pham, DDS
• Pharmacare at Newark LLC
• Pharmaceutical Prescription Service, LLC
• Tej Phatak, MD

• 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 21, 2013; 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.