Main RX Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAIN RX PHARMACY LLC

Practice address

594 Main Ave
Passaic, NJ 07055-4907

Phone

(973) 732-7702

Fax

(973) 732-3077

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Hassam Latif

Title

Member

Phone

(973) 732-7702

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1699241471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554907",
            "telephone_number": "973-732-7702",
            "fax_number": "973-732-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554907",
            "telephone_number": "973-732-7702",
            "fax_number": "973-732-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN RX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "LATIF",
        "authorized_official_first_name": "HASSAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-732-7702"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Theresa Lotz, RPH
• Deborah Lourie, LCSW-C
• Lpcnj, LLC
• Lisa Ann Lussier, LCSW
• M D Health Care LLC
• Main RX Super Pharmacy Inc
• Danial Malik, MD
• Susan Malitzky, MD
• Nancy Malone, LCSW
• Gerly S Manabat

• Community/Retail Pharmacy in Passaic, NJ
• Providers in Passaic, 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 Oct 18, 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.

Verify at the official NPI Registry.