Organization Active NPI

Samy's Pharmacy LLC

Doing business as Samy's Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, NJ
National Provider Identifier
1689432379
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAMY'S PHARMACY LLC
Doing business as
Samy's Pharmacy
Practice address
1130 Route 34
Aberdeen, NJ 07747-2167
Phone
(732) 351-4841
Fax
(732) 351-4819
NPI assigned
Mar 8, 2024
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Heba Awad
Title
Owner
Phone
(917) 439-1098

Specialties & licenses 1

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

Addresses

Primary practice location

1130 Route 34
Aberdeen, NJ 07747-2167

Mailing address

1130 Route 34
Aberdeen, NJ 07747-2167
Phone (732) 351-4841

Other names 1

  • SAMY'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250131001908 NJ DME Supplier - Pharmacy 2961931167 Practice locations: Aberdeen, NJ
O20260221000286 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 2961931167 Practice locations: Aberdeen, NJ

National Provider Directory

National Provider Directory

Locations

1130 Highway 34
Aberdeen, NJ 07747
Phone (732) 351-4841

1130 State Route 34
Ste 8B
Matawan, NJ 07747
Phone (732) 351-4841

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1689432379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ROUTE 34",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472167",
            "telephone_number": "732-351-4841",
            "fax_number": "732-351-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ROUTE 34",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472167",
            "telephone_number": "732-351-4841",
            "fax_number": "732-351-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMY'S PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "HEBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-439-1098"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAMY'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.