Individual provider Active NPI

Sanaa Elmasri, RPH

  • Pharmacist
  • Jersey City, NJ
National Provider Identifier
1710659727
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI4179200 Issued in NJ
Practice address
2800 John F Kennedy Blvd
Jersey City, NJ 07306-5402
Phone
(201) 333-9900
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI4179200 NJ Primary

Addresses

Primary practice location

2800 John F Kennedy Blvd
Jersey City, NJ 07306-5402

Mailing address

1 Alan Ter
Jersey City, NJ 07306-1403
Phone (551) 430-9685

Other identifiers 2

IdentifierTypeStateIssuer
00000000000OtherNJNONE
0000000000000OtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI4179200NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright St. Pharmacy & Mini Market LLC CurrentSince Oct 10, 2021 Accepting new patients

Locations

2800 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 333-9900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1710659727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALAN TER",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061403",
            "telephone_number": "551-430-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073065402",
            "telephone_number": "201-333-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMASRI",
        "first_name": "SANAA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI4179200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00000000000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "0000000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 29, 2021; 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.