Organization Active NPI

Ideal Specialty Apothecary

  • Pharmacy
  • Union, NJ
National Provider Identifier
1902115686
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
IDEAL SPECIALTY APOTHECARY
Practice address
2333 Morris Ave Unit B101
Union, NJ 07083-5714
Phone
(908) 688-1801
Fax
(908) 688-1804
NPI assigned
Sep 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Mr. Hank Incognito, RPH
Title
Ceo
Phone
(908) 688-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2333 Morris Ave Unit B101
Union, NJ 07083-5714

Mailing address

2333 Morris Avenue Unit B101
Union, NJ 07083
Phone (908) 688-1801

Other names 1

  • Ideal Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2333 Morris Ave
Ste B101
Union, NJ 07083
Phone (908) 688-1801

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1902115686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVENUE UNIT B101",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-688-1801",
            "fax_number": "908-688-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE UNIT B101",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835714",
            "telephone_number": "908-688-1801",
            "fax_number": "908-688-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SPECIALTY APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "INCOGNITO",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-688-1801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.