Active NPI
L Park LLC
Doing business as Gilmore Pharmacy
- Pharmacy
- West New York, NJ
National Provider Identifier
1982726279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 3201
- Legal business name
- L PARK LLC
- Doing business as
- Gilmore Pharmacy
- Practice address
- 6000 Park Ave
West New York, NJ 07093 - Phone
- (201) 868-5005
- Fax
- (201) 868-5974
- NPI assigned
- Apr 6, 2007
- 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
- Ileana Dominguez, RPHD
- Title
- President/Pic
- Phone
- (201) 868-5005
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 3201 | NJ | Primary |
Addresses
Primary practice location
6000 Park Ave
West New York, NJ 07093
Mailing address
6000 Park Ave
West New York, NJ 07093
Phone (201) 868-5005
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3123786 | Other | NCPDP | |
| 0547361 | Medicaid | NJ |
Other names 1
- Gilmore Pharmacy
National Provider Directory
National Provider DirectoryLocations
6000 Park Ave
West New York, NJ 07093
Phone (201) 868-5005
Practitioners & affiliated clinicians
Practitioners 2
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
- West New York, NJ
- NPI 1598824310
-
- Pharmacist
- West New York, NY
- NPI 1124140421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538352000000",
"number": "1982726279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 PARK AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "07093",
"telephone_number": "201-868-5005",
"fax_number": "201-868-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 PARK AVE",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "07093",
"telephone_number": "201-868-5005",
"fax_number": "201-868-5974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L PARK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2018-10-01",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "ILEANA",
"authorized_official_title_or_position": "PRESIDENT/PIC",
"authorized_official_telephone_number": "201-868-5005",
"authorized_official_credential": "RPHD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "3201",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3123786",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0547361",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gilmore Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gilmore Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.