Peniel Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PENIEL PHARMACY

Practice address

191 Main St
Hackensack, NJ 07601-7300

Phone

(973) 807-2763

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Delove Jeremy Arthur, RPHNPI 1568138998

Title

Pharmacist

Phone

(973) 807-2763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Adonai Pharmacy LLC

  dba Adonai Pharmacy

  • Community/Retail Pharmacy
  • Newark, NJ
  • NPI 1184456113

  O20231011001179

  Same enrollment

Practitioners 1

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

• Delove Jeremy Arthur

  • Pharmacist
  • Hackensack, NJ
  • NPI 1568138998
  NPD Authorized official

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1932818556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017300",
            "telephone_number": "201-416-4377",
            "fax_number": "201-416-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017300",
            "telephone_number": "973-807-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENIEL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "ARTHUR",
        "authorized_official_first_name": "DELOVE",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "973-807-2763",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangelia Pelidis, DDS
• Reynaldo Luis Pella, NP-C
• Beth Abbott Pelletier, ATC
• Geoffrey Benjamin Pelz, M.D.
• Maria K Pena, DO
• People Care New Jersey Inc.
• Carmen Cecilia Peralta, FNP
• Stephen Percy Jr., MD
• Clarice Perdomo, LPC
• Kimberly J Perdomo, AGPCNP-BC

• Community/Retail Pharmacy in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.