Organization Active NPI

Aha Pharmaceutical Corporation

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1770617037
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on May 9, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4345304MedicaidNJ

Other names 1

  • ST.John's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930099847 NJ DME Supplier - Pharmacy 3678693975 Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.