Organization Active NPI

Fenny Pharmacy LLC

Doing business as Fenny Pharmacy

  • Specialty Pharmacy
  • Jersey City, NJ
National Provider Identifier
1699152751
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
28RS00664300 Issued in NJ
Legal business name
FENNY PHARMACY LLC
Doing business as
Fenny Pharmacy
Practice address
129 Newark Ave Ste 2
Jersey City, NJ 07302-2811
Phone
(201) 333-2223
Fax
(201) 333-2224
NPI assigned
Apr 28, 2015
Last updated
Apr 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Badrinath Boggaram Ramamohan
Title
Pic
Phone
(201) 333-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X 28RS00664300 NJ Primary

Addresses

Primary practice location

129 Newark Ave Ste 2
Jersey City, NJ 07302-2811

Mailing address

129 Newark Ave
Suite 2
Jersey City, NJ 07302-2811
Phone (201) 333-2223

Other identifiers 2

IdentifierTypeStateIssuer
2151399OtherPK
0123528MedicaidNJ

Other names 1

  • FENNY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

129 Newark Ave
Ste 2
Jersey City, NJ 07302
Phone (201) 333-2223

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": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1699152751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 NEWARK AVE",
            "address_2": "SUITE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022811",
            "telephone_number": "201-333-2223",
            "fax_number": "201-333-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 NEWARK AVE STE 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022811",
            "telephone_number": "201-333-2223",
            "fax_number": "201-333-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "BOGGARAM RAMAMOHAN",
        "authorized_official_first_name": "BADRINATH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "201-333-2223"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00664300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151399",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123528",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FENNY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.