Organization Active NPI

Jen Pharma Inc

Doing business as summer avenue pharmacy

  • Long Term Care Pharmacy
  • Newark, NJ
National Provider Identifier
1770137267
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JEN PHARMA INC
Doing business as
summer avenue pharmacy
Practice address
205 Summer Ave
Newark, NJ 07104-2628
Phone
(973) 481-3388
Fax
(973) 481-0625
NPI assigned
Aug 1, 2019
Last updated
Aug 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Smitha DasariNPI 1700059136
Title
President
Phone
(908) 577-6989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

205 Summer Ave
Newark, NJ 07104-2628

Mailing address

205 Summer Ave
Newark, NJ 07104-2628
Phone (973) 481-3388

Other names 1

  • summer avenue pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1770137267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SUMMER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042628",
            "telephone_number": "973-481-3388",
            "fax_number": "973-481-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SUMMER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042628",
            "telephone_number": "973-481-3388",
            "fax_number": "973-481-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEN PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "SMITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-577-6989"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "summer avenue pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.