Bloomfield Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00757600 Issued in NJ

Legal business name

BLOOMFIELD PHARMACY LLC

Practice address

594B Bloomfield Ave
Bloomfield, NJ 07003-2510

Phone

(484) 358-2118

NPI assigned

Jul 23, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Hossam FaragNPI 1629722319

Title

Pharmacist in Charge

Phone

(484) 358-2118

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Hossam Farag

  • Pharmacist
  • Bloomfield, NJ
  • NPI 1629722319
  NPD Authorized official

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902329808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594B BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032510",
            "telephone_number": "484-358-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594B BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032510",
            "telephone_number": "484-358-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FARAG",
        "authorized_official_first_name": "HOSSAM",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "484-358-2118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00757600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bloomfield Total Health Center
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• Bloomfield Wellness Center, P.C.

• Pharmacy in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Pharmacy in New Jersey

• 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.