Active NPI
Organix Pharmacy 11 LLC
- Community/Retail Pharmacy
- Paterson, NJ
National Provider Identifier
1679079131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00760900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.