Main RX Super Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAIN RX SUPER PHARMACY INC

Practice address

594 Main Ave
Passaic, NJ 07055-5062

Phone

(973) 732-7702

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Taseer Khan

Title

President

Phone

(973) 732-7702

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1942917547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555062",
            "telephone_number": "973-732-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555062",
            "telephone_number": "973-732-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN RX SUPER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TASEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-732-7702"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lourie, LCSW-C
• Lpcnj, LLC
• Lisa Ann Lussier, LCSW
• M D Health Care LLC
• Main RX Pharmacy LLC
• Danial Malik, MD
• Susan Malitzky, MD
• Nancy Malone, LCSW
• Gerly S Manabat
• Allison Deborah Mandel-Giampietro

• Community/Retail Pharmacy in Passaic, NJ
• Providers in Passaic, 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 Nov 2, 2022; 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.