Active NPI
Rose Garden Nutrition Inc
- Community/Retail Pharmacy
- Newark, NJ
National Provider Identifier
1790840130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00623700
- Legal business name
- ROSE GARDEN NUTRITION INC
- Practice address
- 22 Elizabeth Ave
Suite 100
Newark, NJ 07108 - Phone
- (973) 645-0388
- Fax
- (973) 624-3411
- NPI assigned
- Dec 26, 2006
- 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
- Ahmed F Aly, PHARMACIST
- Title
- Manager
- Phone
- (973) 645-0388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00623700 | NJ | Primary |
Addresses
Primary practice location
22 Elizabeth Ave
Suite 100
Newark, NJ 07108
Mailing address
P.O. 1660
Union, NJ 07083-1660
Phone (973) 645-0388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9106812 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
22 Elizabeth Ave
Ste 100
Newark, NJ 07108
Phone (973) 645-0388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1790840130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. 1660",
"city": "UNION",
"state": "NJ",
"postal_code": "070831660",
"telephone_number": "973-645-0388",
"fax_number": "973-624-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ELIZABETH AVE",
"address_2": "SUITE 100",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07108",
"telephone_number": "973-645-0388",
"fax_number": "973-624-3411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE GARDEN NUTRITION INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "ALY",
"authorized_official_first_name": "AHMED",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "973-645-0388",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00623700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9106812",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.