Organization Active NPI

Rose Garden Nutrition Inc

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1790840130
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00623700 Issued in NJ
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

Updated by the provider on Oct 15, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9106812MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.