Blue Goose Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BLUE GOOSE PHARMACY

Practice address

2106 Kennedy Blvd # 2
Union City, NJ 07087-2144

Phone

(201) 864-1924

NPI assigned

Sep 21, 2021

Last updated

Nov 23, 2021By 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

Irfan Nasim

Title

Owner

Phone

(551) 333-4434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1821769704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 KENNEDY BLVD # 2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872144",
            "telephone_number": "201-864-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 KENNEDY BLVD # 2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872144",
            "telephone_number": "201-864-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE GOOSE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "NASIM",
        "authorized_official_first_name": "IRFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-333-4434"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Union City, NJ
• Providers in Union 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 Nov 23, 2021; 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.