Organization Active NPI

Pharmacy of America

  • Community/Retail Pharmacy
  • East Orange, NJ
National Provider Identifier
1861442535
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28R00660300 Issued in NJ
Legal business name
PHARMACY OF AMERICA
Practice address
60 Evergreen PL
East Orange, NJ 07018-2106
Phone
(973) 677-0005
Fax
(973) 677-0033
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Herbert Brandt, RPH
Title
Owner
Phone
(973) 677-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28R00660300 NJ Primary

Addresses

Primary practice location

60 Evergreen PL
East Orange, NJ 07018-2106

Mailing address

60 Evergreen PL
East Orange, NJ 07018-2106

Other identifiers 2

IdentifierTypeStateIssuer
0101150MedicaidNJ
3193567OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1861442535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182106",
            "telephone_number": "973-677-0005",
            "fax_number": "973-677-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-677-0005",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28R00660300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101150",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3193567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.