Organization Active NPI

Moribito RX LLC

  • Community/Retail Pharmacy
  • Kenilworth, NJ
National Provider Identifier
1932181732
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00426400 Issued in NJ
Legal business name
MORIBITO RX LLC
Practice address
21 N 20TH St
Kenilworth, NJ 07033-1613
Phone
(908) 709-1414
Fax
(908) 709-1543
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Authorized official

Name
Ramy SadekNPI 1619473030
Title
Owner
Phone
(908) 709-1414

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00426400 NJ Primary

Addresses

Primary practice location

21 N 20TH St
Kenilworth, NJ 07033-1613

Mailing address

21 N 20TH St
Kenilworth, NJ 07033-1613
Phone (908) 709-1414

Other identifiers 1

IdentifierTypeStateIssuer
3130680OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MORABITO'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180531000893 NJ Part B Supplier - Pharmacy 8022373661 Practice locations: Kenilworth, NJ
O20210121001960 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 8022373661 Practice locations: Kenilworth, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1932181732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 20TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331613",
            "telephone_number": "908-709-1414",
            "fax_number": "908-709-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 20TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331613",
            "telephone_number": "908-709-1414",
            "fax_number": "908-709-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORIBITO RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "SADEK",
        "authorized_official_first_name": "RAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-709-1414"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00426400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3130680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORABITO'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MORABITO'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenilworth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.