Organization Active NPI

Farmacias del Pueblo II

  • Pharmacist
  • Paterson, NJ
National Provider Identifier
1881639433
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
000 Issued in NJ
Legal business name
FARMACIAS DEL PUEBLO II
Practice address
22 Market St
Paterson, NJ 07501-1721
Phone
(973) 523-2070
Fax
(973) 523-2590
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Eric Correa, R. PH.
Title
R. PH. in Charge
Phone
(973) 523-2070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 000 NJ Primary

Addresses

Primary practice location

22 Market St
Paterson, NJ 07501-1721

Mailing address

22 Market St
Paterson, NJ 07501-1721
Phone (973) 523-2070

Other identifiers 1

IdentifierTypeStateIssuer
9123601MedicaidNJ

National Provider Directory

National Provider Directory

Locations

22 Market St
Paterson, NJ 07501
Phone (973) 523-2070

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881639433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011721",
            "telephone_number": "973-523-2070",
            "fax_number": "973-523-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075011721",
            "telephone_number": "973-523-2070",
            "fax_number": "973-523-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMACIAS DEL PUEBLO II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "R. PH. IN CHARGE",
        "authorized_official_telephone_number": "973-523-2070",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9123601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.