Organization Active NPI

Take Care Pharmacy, LLC

  • Pharmacy
  • Elizabeth, NJ
National Provider Identifier
1972863587
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00719000 Issued in NJ
Legal business name
TAKE CARE PHARMACY, LLC
Practice address
182A Elmora Ave
Elizabeth, NJ 07202-2114
Phone
(908) 351-5768
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. Sabina Sebastian, PHARM. DNPI 1649583253
Title
Owner
Phone
(908) 351-5768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00719000 NJ Primary
Community/Retail Pharmacy 3336C0003X 28RS00719000 NJ

Addresses

Primary practice location

182A Elmora Ave
Elizabeth, NJ 07202-2114

Mailing address

182A Elmora Ave
Elizabeth, NJ 07202-2114
Phone (908) 351-5768

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130520000613 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 4587801170 Practice locations: Elizabeth, NJ
O20140109000412 NJ DME Supplier - Pharmacy 4587801170 Practice locations: Elizabeth, 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
Take Care Pharmacy LLC182A Elmora Ave, Elizabeth, NJ 07202-2114(908) 351-5768 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 1, 2012

National Provider Directory

National Provider Directory

Locations

182A Elmora Ave
Elizabeth, NJ 07202
Phone (908) 351-5768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1972863587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182A ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022114",
            "telephone_number": "908-351-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182A ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022114",
            "telephone_number": "908-351-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CARE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-351-5768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00719000",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00719000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.