Organization Active NPI

Truth Pharmacy Inc.

  • Community/Retail Pharmacy
  • Perth Amboy, NJ
National Provider Identifier
1902176753
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00677200 Issued in NJ
Legal business name
TRUTH PHARMACY INC.
Practice address
432 Hall Ave
Perth Amboy, NJ 08861-2515
Phone
(732) 442-0163
Fax
(732) 442-4256
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Marians M. Fouad Abdelmalak, RPHNPI 1205105046
Title
Secretary
Phone
(732) 442-0163

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00677200 NJ Primary

Addresses

Primary practice location

432 Hall Ave
Perth Amboy, NJ 08861-2515

Mailing address

432 Hall Ave
Perth Amboy, NJ 08861-2515
Phone (732) 442-0163

Other identifiers 1

IdentifierTypeStateIssuer
0302635MedicaidNJ

Other names 1

  • Santa Maria Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131118000886 NJ DME Supplier - Pharmacy 2769618958 Practice locations: Perth Amboy, NJ

National Provider Directory

National Provider Directory

Locations

432 Hall Ave
Perth Amboy, NJ 08861
Phone (732) 442-0163

Practitioners & affiliated clinicians

Practitioners 5

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1902176753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 HALL AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612515",
            "telephone_number": "732-442-0163",
            "fax_number": "732-442-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 HALL AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612515",
            "telephone_number": "732-442-0163",
            "fax_number": "732-442-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUTH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "FOUAD ABDELMALAK",
        "authorized_official_first_name": "MARIANS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "732-442-0163",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00677200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302635",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.