Fort Lee Pharmacy & Surgical Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FORT LEE PHARMACY & SURGICAL INC

Doing business as

Fort Lee Pharmacy & Surgicals

Practice address

1562 Lemoine Ave
Fort Lee, NJ 07024-5652

Phone

(201) 346-9202

NPI assigned

Oct 6, 2017

Last updated

Oct 3, 2024By 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

Myeongha Jo

Title

Owner

Phone

(201) 346-9202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fort Lee Pharmacy & Surgicals Doing business as

Locations

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1770093544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 LEMOINE AVE STE 2",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245652",
            "telephone_number": "201-346-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LEE PHARMACY & SURGICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "MYEONGHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-346-9202"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8869111",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Lee Pharmacy & Surgicals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fort Lee Orthodontic Associates PC
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• Fort Lee Pharmacy & Surgical Inc (Fort Lee Pharmacy and Surgicals Inc)
• Fort Lee Physical Therapy, P.C.
• Fort Lee Podiatry Group LLC
• Fort Lee Rehabilitation
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• Community/Retail Pharmacy in Fort Lee, NJ
• Providers in Fort Lee, 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 Oct 3, 2024; 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.