Active NPI
Levy's Pharmacy of Lyndhurst LLC
- Pharmacy
- Lyndhurst, NJ
National Provider Identifier
1972544302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00602800
- Legal business name
- LEVY'S PHARMACY OF LYNDHURST LLC
- Practice address
- 299 Stuyvesant Ave
Lyndhurst, NJ 07071-1874 - Phone
- (201) 438-1026
- Fax
- (201) 438-1668
- NPI assigned
- Jun 9, 2006
- Last updated
- Jan 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolanda Garcia
- Title
- RPH in Charge
- Phone
- (201) 438-1026
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 28RS00602800 | NJ | Primary |
Addresses
Primary practice location
299 Stuyvesant Ave
Lyndhurst, NJ 07071-1874
Mailing address
299 Stuyvesant Ave
Lyndhurst, NJ 07071-1874
Phone (201) 438-1026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930056026 | NJ | DME Supplier - Pharmacy | 4486860590 | Practice locations: Lyndhurst, NJ |
| O20110428000474 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 4486860590 | Practice locations: Lyndhurst, NJ |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Lyndhurst, NJ
- NPI 1154574697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326240000000",
"number": "1972544302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 STUYVESANT AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711874",
"telephone_number": "201-438-1026",
"fax_number": "201-438-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 STUYVESANT AVE",
"city": "LYNDHURST",
"state": "NJ",
"postal_code": "070711874",
"telephone_number": "201-438-1026",
"fax_number": "201-438-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVY'S PHARMACY OF LYNDHURST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2012-01-11",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "RPH IN CHARGE",
"authorized_official_telephone_number": "201-438-1026"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RS00602800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.