Organization Active NPI

St. Peter's Pharmacy & Drugs LLC

Doing business as Better Life Pharmacy

  • Community/Retail Pharmacy
  • Hoboken, NJ
National Provider Identifier
1922181874
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00699900 Issued in NJ
Legal business name
ST. PETER'S PHARMACY & DRUGS LLC
Doing business as
Better Life Pharmacy
better life hoboken LTC
Practice address
1000 Washington Street
Hoboken, NJ 07030
Phone
(201) 659-8492
Fax
(201) 659-0350
NPI assigned
Oct 23, 2006
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Mr. Wael Nabil Isaac, RPHNPI 1467999516
Title
Pharmacist in Charge
Phone
(201) 659-8492

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 28RS00699900 NJ Primary

Addresses

Primary practice location

1000 Washington Street
Hoboken, NJ 07030

Mailing address

1000 Washington Street
Hoboken, NJ 07030
Phone (201) 659-8492

Other identifiers 2

IdentifierTypeStateIssuer
0236101MedicaidNJ
2123277OtherPK

Other names 2

  • Better Life Pharmacy Doing business as
  • better life hoboken LTC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190614000619 NJ DME Supplier - Pharmacy 0749513265 Practice locations: Hoboken, NJ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1000 Washington St
Hoboken, NJ 07030
Phone (201) 659-8492

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1922181874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON STREET",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "201-659-8492",
            "fax_number": "201-659-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON STREET",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "07030",
            "telephone_number": "201-659-8492",
            "fax_number": "201-659-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER'S PHARMACY & DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "NABIL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "201-659-8492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00699900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123277",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Better Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "better life hoboken LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.