NPIMap

Organization Active NPI

St Philopateer Pharmacy

  • Specialty Pharmacy
  • South River, NJ
National Provider Identifier
1912796376
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
ST PHILOPATEER PHARMACY
Practice address
54 Main St
South River, NJ 08882-1225
Phone
(732) 257-0069
Fax
(732) 257-0069
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Wael Nabil Isaac
Title
Owner
Phone
(718) 210-6113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

54 Main St
South River, NJ 08882-1225

Mailing address

54 Main St
South River, NJ 08882-1225
Phone (732) 257-0069

Other names 1

  • better life pharmacy specialty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Philopateer Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

54 Main St
South River, NJ 08882
Phone (718) 210-6113

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1912796376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821225",
            "telephone_number": "732-257-0069",
            "fax_number": "732-257-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MAIN ST",
            "city": "SOUTH RIVER",
            "state": "NJ",
            "postal_code": "088821225",
            "telephone_number": "732-257-0069",
            "fax_number": "732-257-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PHILOPATEER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "NABIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-210-6113"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "better life pharmacy specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.