Organization Active NPI

Roxy Pharmacy Inc

Doing business as Roxy Pharmacy II

  • Community/Retail Pharmacy
  • Union, NJ
National Provider Identifier
1932244563
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS0551300 Issued in NJ
Legal business name
ROXY PHARMACY INC
Doing business as
Roxy Pharmacy II
Practice address
1275E Stuyvesant Ave
Union, NJ 07083-3851
Phone
(973) 242-8001
Fax
(973) 242-8004
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Mr. Anselm Anyanwu Esomonu, R.PH
Title
Pharmacist in Charge
Phone
(978) 242-8001

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS0551300 NJ Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1275E Stuyvesant Ave
Union, NJ 07083-3851

Mailing address

1275E Stuyvesant Ave Ste E
Union, NJ 07083-3851
Phone (973) 242-8001

Other identifiers 2

IdentifierTypeStateIssuer
7497504MedicaidNJ
2053863OtherPK

Other names 1

  • ROXY PHARMACY II Doing business as

National Provider Directory

National Provider Directory

Locations

29 Court St
Newark, NJ 07102

1275E Stuyvesant Ave
Union, NJ 07083
Phone (973) 242-8001

1275E Stuyvesant Ave
Ste E
Union, NJ 07083

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1932244563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275E STUYVESANT AVE STE E",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833851",
            "telephone_number": "973-242-8001",
            "fax_number": "973-242-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275E STUYVESANT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833851",
            "telephone_number": "973-242-8001",
            "fax_number": "973-242-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "ESOMONU",
        "authorized_official_first_name": "ANSELM",
        "authorized_official_middle_name": "ANYANWU",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "978-242-8001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "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": "28RS0551300",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7497504",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2053863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROXY PHARMACY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.