St Joseph Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST JOSEPH PHARMACY INC

Doing business as

St. Joseph Pharmacy Inc

Practice address

758 Memorial Pkwy
Phillipsburg, NJ 08865-2750

Phone

(908) 454-0777

NPI assigned

Dec 4, 2018

Last updated

Aug 16, 2024By 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

Hafiz Rehman

Title

Owner

Phone

(862) 842-0764

Specialties & licenses 1

Addresses

Other names 1

• St. Joseph Pharmacy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Tax ID family

St Joseph Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Joseph Pharmacy Inc

  • Long Term Care Pharmacy
  • Phillipsburg, NJ
  • NPI 1467332528
  NPD tax ID

Locations

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.

• Georgeann Pludowski, BS

  • Pharmacist
  • Phillipsburg, NJ
  • NPI 1023601440
  NPD (past)

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1972073898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 855",
            "city": "TREXLERTOWN",
            "state": "PA",
            "postal_code": "180870855",
            "telephone_number": "484-600-6666",
            "fax_number": "484-600-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 MEMORIAL PKWY",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652750",
            "telephone_number": "908-454-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "HAFIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-842-0764"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Joseph Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor Sonaike, MD
• Esha Sood, MD
• Christine Anne Southwick, RD
• Christine Sroka, MOT, OTR/L, CSRS
• St Joseph Pharmacy Inc
• Robert Timothy St Laurent, PTA
• St. Luke's Warren Hospital, Inc.
• St. Luke's Warren Hospital, Inc.
• St. Luke's Warren Physician Group, PC (St. Luke's Warren Surgical Advance Practice Service)
• St. Luke's Warren Physician Group, PC

• Community/Retail Pharmacy in Phillipsburg, NJ
• Providers in Phillipsburg, 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 16, 2024; 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.