Mina Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00626300 Issued in NJ

Legal business name

MINA PHARMACY CORP

Doing business as

St Mark Pharmacy

Practice address

875 Bergen Ave
Jersey City, NJ 07306-4405

Phone

(201) 792-9881

Fax

(201) 792-9882

NPI assigned

Apr 3, 2007

Last updated

Jul 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Said MakarNPI 1649322264

Title

Owner and Pharmacist

Phone

(201) 792-9881

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ST MARK PHARMACY Doing business as

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.

• Said F Makar Sr., BS

  • Pharmacist
  • Jersey City, NJ
  • NPI 1649322264
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1811018377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064405",
            "telephone_number": "201-792-9881",
            "fax_number": "201-792-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064405",
            "telephone_number": "201-792-9881",
            "fax_number": "201-792-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINA PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "MAKAR",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "201-792-9881"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00626300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003310",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055241",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST MARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damon Miller
• William Roy Miller, MSW LCSW
• Alexander Milman, DDS
• Valery Milman, DDS
• Irene Min, M.D.
• Mind Set ABA LLC
• Mindful Approach LLC.
• Caitlin Miner, DPM
• Maryanne S Miranda
• Muhammed Awais Mirza, PHARMD

• Community/Retail Pharmacy in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.