NPIMap

Organization Active NPI

Cici Pharmacy

Doing business as Serom pharmacy 1

  • Pharmacy
  • Palisades Park, NJ
National Provider Identifier
1972002822
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CICI PHARMACY
Doing business as
Serom pharmacy 1
Practice address
210 Broad Ave
Palisades Park, NJ 07650-1509
Phone
(201) 242-1000
NPI assigned
Feb 6, 2018
Last updated
Feb 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Authorized official

Name
Soltan Cangoz, PHARMDNPI 1881004844
Title
Owner/ Partner
Phone
(570) 590-7819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

210 Broad Ave
Palisades Park, NJ 07650-1509

Mailing address

333 Central Ave
Metuchen, NJ 08840-1230
Phone (570) 590-7819

Other names 1

  • Serom pharmacy 1 Doing business as

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": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1972002822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CENTRAL AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401230",
            "telephone_number": "570-590-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BROAD AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501509",
            "telephone_number": "201-242-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CICI PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "CANGOZ",
        "authorized_official_first_name": "SOLTAN",
        "authorized_official_title_or_position": "OWNER/ PARTNER",
        "authorized_official_telephone_number": "570-590-7819",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serom pharmacy 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.