Modern RX Limited Liability Company

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MODERN RX LIMITED LIABILITY COMPANY

Practice address

33-41 Newark St Ste 2B
Hoboken, NJ 07030-5620

Phone

(201) 420-9000

Fax

(201) 420-4040

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Klara ReizisNPI 1972915445

Title

Owner/Pharmacist/Ao

Phone

(917) 217-3908

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Modern Medicine Rx Doing business as

Locations

Practitioners 1

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

• Klara Reizis, PHARM. D.

  • Pharmacist
  • Hoboken, NJ
  • NPI 1972915445
  NPD Authorized official

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1992117451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33-41 NEWARK ST STE 2B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305620",
            "telephone_number": "201-420-9000",
            "fax_number": "201-420-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-41 NEWARK ST STE 2B",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305620",
            "telephone_number": "201-420-9000",
            "fax_number": "201-420-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RX LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "REIZIS",
        "authorized_official_first_name": "KLARA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST/AO",
        "authorized_official_telephone_number": "917-217-3908"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RS00733400",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146077",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436755",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Medicine Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Medicine Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nancy Marie Mondello, BCBA

• Community/Retail Pharmacy in Hoboken, NJ
• Providers in Hoboken, 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 Apr 27, 2020; 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.