Restoration Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RESTORATION PHARMACY LLC

Practice address

2153 Tyler Street
1385 Stuyvesant St
Union, NJ 07083

Phone

(908) 688-7575

Fax

(908) 688-8866

NPI assigned

Jan 11, 2007

Last updated

Aug 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Ikenna Ezeonyim

Title

Pharmacist

Phone

(908) 688-8866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1952451288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 TYLER STREET",
            "address_2": "1385 STUYVESANT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-688-7575",
            "fax_number": "908-688-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 TYLER STREET",
            "address_2": "1385 STUYVESANT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-688-7575",
            "fax_number": "908-688-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "EZEONYIM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "IKENNA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "908-688-8866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Union, NJ
• Providers in Union, 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 Aug 3, 2007; 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.