Tesh M II LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

TESH M II LLC

Doing business as

City Pharmacy of Nutley

Practice address

215 Franklin Ave
Nutley, NJ 07110-2708

Phone

(973) 667-6677

Fax

(973) 667-6675

NPI assigned

Jun 3, 2019

Last updated

Apr 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hisham GharibNPI 1780227132

Title

Partner

Phone

(973) 667-6677

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City Pharmacy of Nutley Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Hisham A Gharib

  • Pharmacist
  • Nutley, NJ
  • NPI 1780227132
  NPD Authorized official
• Mohamed Ehab Solaiman, PHARM.D.

  • Pharmacist
  • Newark, NJ
  • NPI 1700092210
  NPD
• Nazia Sheikh, PHARMD

  • Pharmacist
  • Nutley, NJ
  • NPI 1891492930
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1912565169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102708",
            "telephone_number": "973-667-6677",
            "fax_number": "973-667-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102708",
            "telephone_number": "973-667-6677",
            "fax_number": "973-667-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESH M II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "GHARIB",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-667-6677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713775",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Pharmacy of Nutley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Pharmacy of Nutley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.