Organization Active NPI

Damiano Pharmacy

  • Community/Retail Pharmacy
  • Clifton, NJ
National Provider Identifier
1891866539
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00258900 Issued in NJ
Legal business name
DAMIANO PHARMACY
Practice address
270 Parker Ave
Clifton, NJ 07011-1400
Phone
(973) 546-6700
Fax
(973) 546-8514
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Dr. Sara Lucia Damiano, PHARM DNPI 1326624529
Title
President
Phone
(973) 546-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 28RS00258900 NJ
Community/Retail Pharmacy 3336C0003X 28RS00258900 NJ Primary

Addresses

Primary practice location

270 Parker Ave
Clifton, NJ 07011-1400

Mailing address

270 Parker Ave
Clifton, NJ 07011-1400
Phone (973) 546-6700

Other identifiers 2

IdentifierTypeStateIssuer
4269004MedicaidNJ
2526107OtherNJMEDICAID DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930063353 NJ DME Supplier - Pharmacy 1850418815 Practice locations: Clifton, NJ
O20201006000610 NJ Part B Supplier - Pharmacy 1850418815 Practice locations: Clifton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Damiano Pharmacy270 Parker Ave, Clifton, NJ 07011-1400(973) 546-6700 Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 2009

National Provider Directory

National Provider Directory

Locations

270 Parker Ave
Ste A
Clifton, NJ 07011
Phone (973) 546-6700

Practitioners & affiliated clinicians

Practitioners 2

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1891866539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PARKER AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111400",
            "telephone_number": "973-546-6700",
            "fax_number": "973-546-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PARKER AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111400",
            "telephone_number": "973-546-6700",
            "fax_number": "973-546-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIANO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "DAMIANO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-546-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00258900",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00258900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4269004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "2526107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.