Organization Active NPI

Carmens Pharmacy & Medical Supplies Inc

  • Community/Retail Pharmacy
  • Paterson, NJ
National Provider Identifier
1750488680
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00664200 Issued in NJ
Legal business name
CARMENS PHARMACY & MEDICAL SUPPLIES INC
Practice address
418 River St
Paterson, NJ 07524-1902
Phone
(973) 279-0200
Fax
(973) 279-7200
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Carmen Loran
Title
Owner
Phone
(973) 277-7679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00664200 NJ Primary

Addresses

Primary practice location

418 River St
Paterson, NJ 07524-1902

Mailing address

418 River St
Paterson, NJ 07524-1902
Phone (973) 279-0200

Other identifiers 3

IdentifierTypeStateIssuer
0258121MedicaidNJ
2056052OtherPK
0254525MedicaidNJ

Other names 1

  • CARMENS PHARMACY AND MEDICAL SUPPLY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110329000497 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Pedorthic Personnel 0446433411 Practice locations: Paterson, NJ
O20260120000222 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 0446433411 Practice locations: Paterson, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Carmen'S Pharmacy and Medical Supp418 River St, Paterson, NJ 07524-1902(973) 279-0200 Nebulizer Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutane… Accepts assignmentParticipating since Jan 1, 2017

National Provider Directory

National Provider Directory

Locations

611 US Highway 46 W
Ste 200
Hasbrouck Heights, NJ 07604

418 River St
Paterson, NJ 07524
Phone (551) 238-3798

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1750488680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 RIVER ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241902",
            "telephone_number": "973-279-0200",
            "fax_number": "973-279-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 RIVER ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075241902",
            "telephone_number": "973-279-0200",
            "fax_number": "973-279-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMENS PHARMACY & MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "LORAN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-277-7679"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00664200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258121",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056052",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254525",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARMENS PHARMACY AND MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.