Organization Active NPI

I Care Passaic Pharmacy Corp

Doing business as I Care Passaic Pharmacy

  • Community/Retail Pharmacy
  • Passaic, NJ
National Provider Identifier
1861093395
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
I CARE PASSAIC PHARMACY CORP
Doing business as
I Care Passaic Pharmacy
Practice address
38 Market St
Passaic, NJ 07055-7404
Phone
(973) 396-8918
NPI assigned
Nov 2, 2020
Last updated
Jan 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Authorized official

Name
Mahmoud Medhat Ali
Title
Owner
Phone
(973) 396-8918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

38 Market St
Passaic, NJ 07055-7404

Mailing address

38 Market St
Passaic, NJ 07055-7404
Phone (973) 396-8918

Other names 1

  • I Care Passaic Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1861093395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MARKET ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557404",
            "telephone_number": "973-396-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MARKET ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070557404",
            "telephone_number": "973-396-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I CARE PASSAIC PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MAHMOUD MEDHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-396-8918"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Care Passaic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Passaic, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.