Mario H Gerges, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03898500 Issued in NJ

Practice address

Passaic Community Pharmacy
339 Passaic St
Passaic, NJ 07055-5818

Phone

(973) 471-0160

NPI assigned

Dec 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• SLC Pharmacy Inc

  • Community/Retail Pharmacy
  • Jersey City, NJ
  • NPI 1770685794
  NPD Authorized official

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1720593510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8422 13TH AVE APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283339",
            "telephone_number": "631-526-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASSAIC COMMUNITY PHARMACY",
            "address_2": "339 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555818",
            "telephone_number": "973-471-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGES",
        "first_name": "MARIO",
        "middle_name": "H",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03898500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanee Meshel Garrison, LCSW
• Kristen Gearity
• Albaraa Mohamed Gebril, RBT
• Genesis Pharmacy, Inc
• Benjamin George, M.D.,
• Dov Gewirtz
• Elliot Gewirtz, LCSW
• GHCP Ekg Interpretation Panel, LLC
• Randeep Gill, PSYD
• Karen Giraldo

• Pharmacist in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.