Active NPI
Drugfair of Rockaway
- Community/Retail Pharmacy
- Rockaway, NJ
National Provider Identifier
1922279470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00672400
- Legal business name
- DRUGFAIR OF ROCKAWAY
- Practice address
- 295 Route 46 Rockaway Plaza
Rockaway, NJ 07866 - Phone
- (973) 625-8111
- Fax
- (973) 625-1441
- NPI assigned
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Labeau
- Title
- VP Phcy Oper
- Phone
- (732) 748-8900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00672400 | NJ | Primary |
Addresses
Primary practice location
295 Route 46 Rockaway Plaza
Rockaway, NJ 07866
Mailing address
295 Route 46 Rockaway Plaza
Rockaway, NJ 07866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3194987 | Other | OTHER ID NUMBER |
Other names 1
- DRUG FAIR OF ROCKAWAY
National Provider Directory
National Provider Directory- Tax ID family
- Drug Fair Group Inc
Other organizations with this tax ID 47
Organizations that report the same tax identification number in the National Provider Directory.
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- NPI 1083699235
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Locations
295 US Highway 46
Rockaway, NJ 07866
Phone (973) 957-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1922279470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 ROUTE 46 ROCKAWAY PLAZA",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "07866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 ROUTE 46 ROCKAWAY PLAZA",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "07866",
"telephone_number": "973-625-8111",
"fax_number": "973-625-1441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRUGFAIR OF ROCKAWAY",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "LABEAU",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "VP PHCY OPER",
"authorized_official_telephone_number": "732-748-8900"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00672400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3194987",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DRUG FAIR OF ROCKAWAY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.