Tristate Wellness Pharmacy

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

TRISTATE WELLNESS PHARMACY

Practice address

290 Dunhams Corner Road
East Brunswick, NJ 08816

Phone

(908) 421-3738

NPI assigned

Jan 3, 2014

Last updated

Jan 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bassem Girgis

Title

Managing Partner

Phone

(908) 421-3738

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1760803019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BRUNSWICK WOODS DRIVE",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 DUNHAMS CORNER ROAD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "908-421-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE WELLNESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "BASSEM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "908-421-3738"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Compounding Pharmacy in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Compounding Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.