Active NPI
Obeng Pharmacy LLC
- Community/Retail Pharmacy
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- OBENG PHARMACY LLC
- Doing business as
- obeng pharmacy llc
- Practice address
- 431-433 Elizabeth Avenue
Newark, NJ 07112 - Phone
- (862) 237-7601
- NPI assigned
- Jul 16, 2019
- Last updated
- Jul 16, 2019
- 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. Adje Daby Koffi
- Title
- Ceo
- Phone
- (862) 237-7601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
431-433 Elizabeth Avenue
Newark, NJ 07112
Mailing address
1 Bristlecone Dr
Howell, NJ 07731-2818
Phone (862) 237-7601
Other practice location 1
1 Bristlecone Dr
Howell, NJ 07731-2818
Phone (862) 237-7601
Other names 1
- obeng pharmacy llc
National Provider Directory
National Provider Directory- Tax ID family
- Obeng Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1376052670
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.
-
- Pharmacist
- Newark, NJ
- NPI 1619375995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563235200000",
"number": "1891347225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BRISTLECONE DR",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077312818",
"telephone_number": "862-237-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431-433 ELIZABETH AVENUE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "862-237-7601"
}
],
"practiceLocations": [
{
"address_1": "1 Bristlecone Dr",
"address_purpose": "LOCATION",
"city": "Howell",
"state": "NJ",
"postal_code": "077312818",
"country_code": "US",
"telephone_number": "862-237-7601",
"fax_number": "862-237-7603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OBENG PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A",
"authorized_official_last_name": "KOFFI",
"authorized_official_first_name": "ADJE",
"authorized_official_middle_name": "DABY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "862-237-7601",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "obeng pharmacy llc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.