Organization Active NPI

Organix Pharmacy 11 LLC

  • Community/Retail Pharmacy
  • Paterson, NJ
National Provider Identifier
1679079131
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00760900 Issued in NJ
Legal business name
ORGANIX PHARMACY 11 LLC
Practice address
1010 Main St # A2
Paterson, NJ 07503-2212
Phone
(862) 336-1013
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Moamen Adel Salem
Title
Owner
Phone
(973) 979-0096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00760900 NJ Primary

Addresses

Primary practice location

1010 Main St # A2
Paterson, NJ 07503-2212

Mailing address

1019 Ringwood Ave Apt 4
Haskell, NJ 07420-1457
Phone (973) 979-0096

National Provider Directory

National Provider Directory

Locations

1010 Main St
#A2
Paterson, NJ 07503
Phone (862) 336-1013

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1679079131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 RINGWOOD AVE APT 4",
            "city": "HASKELL",
            "state": "NJ",
            "postal_code": "074201457",
            "telephone_number": "973-979-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST # A2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032212",
            "telephone_number": "862-336-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORGANIX PHARMACY 11 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "MOAMEN",
        "authorized_official_middle_name": "ADEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-979-0096"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00760900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.