Brectobi,LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRECTOBI,LLC

Doing business as

Maple Pharmacy

Practice address

870 Springfield Ave
Irvington, NJ 07111-3668

Phone

(973) 374-2500

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Peter ObiNPI 1568598217

Title

President

Phone

(973) 374-2500

Specialties & licenses 1

Addresses

Other names 1

• MAPLE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Peter E Obi, PHARMD

  • Pharmacist
  • Irvington, NJ
  • NPI 1568598217
  NPD (past) Authorized official
• Pascal Osei, RPH

  • Pharmacist
  • Irvington, NJ
  • NPI 1982111373
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1710010640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SPRINGFIELD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113668",
            "telephone_number": "973-374-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SPRINGFIELD AVE",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113668",
            "telephone_number": "973-374-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECTOBI,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-374-2500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAPLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zaida Yadira Boulogne
• Monica Brady, MSW, LCSW
• Danica Davina Bramwell
• Monira S Braxton, CPRS
• Saroya Y Braxton
• Briar Hill Pharmacies LLC
• Briar Hill Pharmacy Inc (Briar Hill Pharmacy)
• Atiya Brooks
• Jeanetta Brooks
• April Brown, MSW, LSW

• Community/Retail Pharmacy in Irvington, NJ
• Providers in Irvington, 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 12, 2014; 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.