Active NPI
Health Center Pharmacy, Inc.
- Pharmacy
- West New York, NJ
National Provider Identifier
1831178581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00594200
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8520801 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Health Center Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- West New York, NJ
- NPI 1558598904
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.