Passaic Pharmacy and Medical Supplies LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC

Practice address

156 Passaic St
Passaic, NJ 07055-7392

Phone

(908) 382-0158

Fax

(908) 382-0156

NPI assigned

Mar 10, 2025

Organization subpart

Yes

Parent organization

PASSAIC PHARMACY AND MEDICAL SUPPLIES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Lobna OmarNPI 1215193438

Title

Pharmacist in Charge

Phone

(347) 259-0115

Specialties & licenses 1

Addresses

Other names 1

• VivaMed Pharmacy & Medical Supplies Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Passaic Pharmacy and Medical Supplies LLC

Practitioners 1

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

• Lobna F Omar, RPH

  • Pharmacist
  • New York, NY
  • NPI 1215193438
  NPD Authorized official

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1821897380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557392",
            "telephone_number": "908-382-0158",
            "fax_number": "908-382-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557392",
            "telephone_number": "908-382-0158",
            "fax_number": "908-382-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC",
        "enumeration_date": "2025-03-10",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "LOBNA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "347-259-0115",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VivaMed Pharmacy & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VivaMed Pharmacy & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Passaic Medical Walk-in and Wellness Center LLC
• Passaic Pediatrics II PA
• Passaic Pediatrics II PA
• Passaic Pediatrics PA
• Passaic Pediatrics PA
• Passaic Pharmacy Inc
• Passaic Primary Care Physicians LLC
• Passaic Vision Care, P.C
• Passaic Vision Center ,LLC.
• Akshaykumar Patel

• Community/Retail Pharmacy in Passaic, NJ
• Providers in Passaic, 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 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.