NPIMap

Plaza Pharmacy

Organization Active NPI Pharmacist · Jersey City, NJ

NPI 1821032343 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1821032343
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacist 183500000X
License
28RS00541400 (NJ)
Legal business name
PLAZA PHARMACY
Practice address
2818A Kennedy Blvd
Jersey City, NJ 07306-3902
Phone
(201) 222-0808
Fax
(201) 222-7747
NPI assigned
Jun 15, 2006
Organization subpart
No

Authorized official

Name
Mr. Salah Mansour NPI 1265794846
Title
R.PH.
Phone
(201) 222-0808

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist
Group: 193400000X SINGLE SPECIALTY GROUP		 183500000X 28RS00541400 NJ Yes

Addresses

Primary practice location

2818A Kennedy Blvd
Jersey City, NJ 07306-3902

Mailing address

2818A Kennedy Blvd
Jersey City, NJ 07306-3902
Phone (201) 222-0808

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821032343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818A KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063902",
            "telephone_number": "201-222-0808",
            "fax_number": "201-222-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818A KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063902",
            "telephone_number": "201-222-0808",
            "fax_number": "201-222-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "SALAH",
        "authorized_official_title_or_position": "R.PH.",
        "authorized_official_telephone_number": "201-222-0808",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00541400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

All providers in Jersey City, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.