Essex RX Care Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00761100 Issued in NJ

Legal business name

ESSEX RX CARE INC

Practice address

324 Essex St
Lodi, NJ 07644-2702

Phone

(201) 368-3333

Fax

(201) 368-3334

NPI assigned

Mar 26, 2018

Organization subpart

No

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

Authorized official

Name

Khaja Khateeb

Title

President

Phone

(201) 368-3333

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1831694546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324-326 ESSEX ST",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "07644",
            "telephone_number": "201-368-3333",
            "fax_number": "201-368-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ESSEX ST",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076442702",
            "telephone_number": "201-368-3333",
            "fax_number": "201-368-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX RX CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "KHATEEB",
        "authorized_official_first_name": "KHAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-368-3333"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00761100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lodi, NJ
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.