J&J St Michaels Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00644400 Issued in NJ

Legal business name

J&J ST MICHAELS PHARMACY INC.

Practice address

268 Martin Luther King Jr Blvd
Newark, NJ 07102-2011

Phone

(973) 877-2799

Fax

(973) 877-2801

NPI assigned

Aug 8, 2006

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lina FelicianoNPI 1396977831

Title

Phrmacist in Charge

Phone

(973) 877-2799

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Lina Feliciano, RPH.

  • Pharmacist
  • Newark, NJ
  • NPI 1396977831
  Authorized official Same address or phone
• Michael Fedida, R.PH., M.S.

  • Pharmacist
  • Teaneck, NJ
  • NPI 1699090969
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1679583330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MARTIN LUTHER KING JR BLVD",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022011",
            "telephone_number": "973-877-2799",
            "fax_number": "973-877-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J ST MICHAELS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "PHRMACIST IN CHARGE",
        "authorized_official_telephone_number": "973-877-2799",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00644400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053198",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Iwuji, RN
• Paul Iyahen, RN
• Prashanth G Iyer, M.D.
• Allison Izsak, MD
• J. Slim, LLC
• Joanna Jacinto
• Alexandra Jackovich, MD
• Andrea Monet Jackson
• Brittany Nicole Jackson
• Cordero Jackson, BSN RN

• 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 4, 2008; 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.