Five Corners Pharmacy LLP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00687300 Issued in NJ

Legal business name

FIVE CORNERS PHARMACY LLP

Doing business as

Five Corners Pharmacy

Practice address

591 Summit Ave. Store #1
Jersey City, NJ 07306

Phone

(201) 217-0092

Fax

(201) 217-0093

NPI assigned

Feb 10, 2009

Last updated

Feb 10, 2009By 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

Amir / Hani Tadros

Title

Pharmacist/ Owners

Phone

(201) 217-0092

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Five Corners Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1679712061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE. STORE #1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 SUMMIT AVE. STORE #1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-217-0092",
            "fax_number": "201-217-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE CORNERS PHARMACY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "AMIR / HANI",
        "authorized_official_title_or_position": "PHARMACIST/ OWNERS",
        "authorized_official_telephone_number": "201-217-0092"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00687300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3195585",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Corners Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, 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 10, 2009; 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.