Camacho Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00428700 Issued in NJ

Legal business name

CAMACHO APOTHECARY INC

Practice address

509 Elizabeth Ave
Elizabeth, NJ 07206-1130

Phone

(908) 355-1784

Fax

(908) 248-0038

NPI assigned

Jan 20, 2006

Organization subpart

No

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

Authorized official

Name

Leonard GoldfeldNPI 1437429248

Title

Pharmacist

Phone

(908) 355-1784

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Camacho Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Camacho Apothecary Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Camacho Apothecary Inc

  • Long Term Care Pharmacy
  • Elizabeth, NJ
  • NPI 1326979196
  NPD tax ID

Locations

Practitioners 2

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

• Leonard Goldfeld, RPH

  • Pharmacist
  • Elizabeth, NJ
  • NPI 1437429248
  NPD Authorized official
• Antonio M Disanto, RPH

  • Pharmacist
  • Elizabeth, NJ
  • NPI 1407908288
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1730169103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061130",
            "telephone_number": "908-355-1784",
            "fax_number": "908-248-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061130",
            "telephone_number": "908-355-1784",
            "fax_number": "908-248-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMACHO APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "GOLDFELD",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "908-355-1784"
    },
    "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": "28RS00428700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143209",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403997",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camacho Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Casilda Cala
• Caldwell DME Services LLC
• Theodore Calefati, LCSW
• Ammiel Callum
• Camacho Apothecary Inc
• Magaly Campos-Munoz, M.D.
• Qori Campos
• Gerardo Capo, MD
• Stephanie Caputo
• Cynthia H Caracter, CADC

• Community/Retail Pharmacy in Elizabeth, NJ
• Providers in Elizabeth, 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 Apr 27, 2016; 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.