Organization Active NPI

Devine's Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Edison, NJ
National Provider Identifier
1952453631
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00426100 Issued in NJ
Legal business name
DEVINE'S PHARMACY, INC.
Practice address
1949 Oak Tree Rd
Edison, NJ 08820-2036
Phone
(732) 549-7117
Fax
(732) 549-7080
NPI assigned
Jan 16, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Mr. Abaid Cheema, R.PH.
Title
President
Phone
(347) 543-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00426100 NJ Primary

Addresses

Primary practice location

1949 Oak Tree Rd
Edison, NJ 08820-2036

Mailing address

1949 Oak Tree Rd
Edison, NJ 08820-2036
Phone (732) 549-7117

Other identifiers 2

IdentifierTypeStateIssuer
4315901MedicaidNJ
3108493OtherNJNCPDP

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930052727 NJ DME Supplier - Pharmacy 7911026166 Practice locations: Edison, NJ
O20231010003856 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7911026166 Practice locations: Edison, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Devine's Pharmacy1949 Oak Tree Rd, Edison, NJ 08820-2036(732) 549-7117 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Urological Supplies Accepts assignmentParticipating since Jan 4, 2024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1952453631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202036",
            "telephone_number": "732-549-7117",
            "fax_number": "732-549-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202036",
            "telephone_number": "732-549-7117",
            "fax_number": "732-549-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "CHEEMA",
        "authorized_official_first_name": "ABAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-543-3955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00426100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4315901",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3108493",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.