Organization Active NPI

Reemberto J Maquieira

  • Community/Retail Pharmacy
  • West New York, NJ
National Provider Identifier
1720171150
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00336400 Issued in NJ
Legal business name
REEMBERTO J MAQUIEIRA
Practice address
335 60TH St
West New York, NJ 07093-5412
Phone
(201) 854-1829
Fax
(201) 854-6371
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Reemberto Maquieira
Title
Owner
Phone
(201) 854-1829

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00336400 NJ Primary

Addresses

Primary practice location

335 60TH St
West New York, NJ 07093-5412

Mailing address

335 60TH St
West New York, NJ 07093-5412
Phone (201) 854-1829

Other identifiers 2

IdentifierTypeStateIssuer
2057875OtherPK
4345100MedicaidNJ

Other names 1

  • CENTRAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

335 60th St
West New York, NJ 07093
Phone (201) 854-1829

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1720171150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935412",
            "telephone_number": "201-854-1829",
            "fax_number": "201-854-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935412",
            "telephone_number": "201-854-1829",
            "fax_number": "201-854-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEMBERTO J MAQUIEIRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MAQUIEIRA",
        "authorized_official_first_name": "REEMBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-854-1829"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00336400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2057875",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4345100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.