Active NPI
Aha Pharmaceutical Corporation
- Community/Retail Pharmacy
- Jersey City, NJ
National Provider Identifier
1770617037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00448800
- Legal business name
- AHA PHARMACEUTICAL CORPORATION
- Practice address
- 2980 Kennedy Blvd.
Jersey City, NJ 07306 - Phone
- (201) 963-3617
- Fax
- (201) 963-8616
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amgad Girgis, P.D.
- Title
- Pharmacist
- Phone
- (201) 963-3617
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00448800 | Primary |
Addresses
Primary practice location
2980 Kennedy Blvd.
Jersey City, NJ 07306
Mailing address
2980 Kennedy Blvd.
Jersey City, NJ 07306
Phone (201) 963-3617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4345304 | Medicaid | NJ |
Other names 1
- ST.John's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930099847 | NJ | DME Supplier - Pharmacy | 3678693975 | Practice locations: Jersey City, NJ |
National Provider Directory
National Provider DirectoryLocations
2980 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 963-3617
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Jersey City, NJ
- NPI 1962101089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304899200000",
"number": "1770617037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 KENNEDY BLVD.",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07306",
"telephone_number": "201-963-3617",
"fax_number": "201-963-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 KENNEDY BLVD.",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07306",
"telephone_number": "201-963-3617",
"fax_number": "201-963-8616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHA PHARMACEUTICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2011-05-09",
"status": "A",
"authorized_official_last_name": "GIRGIS",
"authorized_official_first_name": "AMGAD",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "201-963-3617",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "P.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": "28RS00448800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4345304",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ST.John's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.