Pope Kirolos RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

POPE KIROLOS RX LLC

Doing business as

Main Pharmacy

Practice address

203 Main St
Boonton, NJ 07005-1749

Phone

(973) 334-0519

Fax

(973) 334-9390

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Samoeel Shakhlol

Title

Owner

Phone

(973) 334-0519

Specialties & licenses 1

Addresses

Other names 1

• Main Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1700618873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051749",
            "telephone_number": "973-334-0519",
            "fax_number": "973-334-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MAIN ST",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051749",
            "telephone_number": "973-334-0519",
            "fax_number": "973-334-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE KIROLOS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "SHAKHLOL",
        "authorized_official_first_name": "SAMOEEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-334-0519"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Boonton, NJ
• Providers in Boonton, 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 Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.