Organization Active NPI

Health Center Pharmacy, Inc.

  • Pharmacy
  • West New York, NJ
National Provider Identifier
1831178581
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00594200 Issued in NJ
Legal business name
HEALTH CENTER PHARMACY, INC.
Practice address
6200 Bergenline Ave
West New York, NJ 07093-1619
Phone
(201) 861-7521
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rene Dehombre, R.P.
Title
RP in Charge
Phone
(201) 861-7521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00594200 NJ Primary

Addresses

Primary practice location

6200 Bergenline Ave
West New York, NJ 07093-1619

Mailing address

6200 Bergenline Ave
West New York, NJ 07093-1619
Phone (201) 861-7521

Other identifiers 1

IdentifierTypeStateIssuer
8520801MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Health Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831178581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931619",
            "telephone_number": "201-861-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931619",
            "telephone_number": "201-861-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CENTER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEHOMBRE",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "RP IN CHARGE",
        "authorized_official_telephone_number": "201-861-7521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00594200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8520801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.