Rodeo Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00545100 Issued in NJ

Legal business name

RODEO PHARMACY INC

Practice address

225 Broad Ave Ste 202
Palisades Park, NJ 07650

Phone

(201) 363-1181

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Byungduck Lee

Title

Pharmacist

Phone

(201) 363-1181

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Tax ID family

Rodeo Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rodeo Pharmacy Inc

  • Long Term Care Pharmacy
  • Palisades Park, NJ
  • NPI 1386527307
  NPD tax ID

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1821089186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROAD AVE STE 202",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROAD AVE STE 202",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "201-363-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BYUNGDUCK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "201-363-1181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00545100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charles Ryu, D.C.
• Anjna Saini
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• Pharmacy in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.