Active NPIOrganization

Central Ave Pharmacy LLC

Pharmacy, Community/Retail Pharmacy in East Orange, New Jersey

NPI Number1417624297
Practice location
355 Central Ave # 363, East Orange, NJ 07018
Fax
—
Last updated
May 6, 2022

Central Ave Pharmacy LLC is a healthcare organization based in East Orange, NJ. Central Ave Pharmacy LLC practices in East Orange, NJ. The NPI Number for Central Ave Pharmacy LLC is 1417624297. The current practice location address for Central Ave Pharmacy LLC is 355 Central Ave # 363, East Orange, NJ 07018 and can be reached out via phone at 973-666-5363.

Provider Profile Details

NPI Number
1417624297
Provider Name
Central Ave Pharmacy LLC
Provider Entity Type
Organization
Address
355 Central Ave # 363, East Orange, NJ 07018
Phone Number
973-666-5363
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Elmoatazbellah A Tammaa · Pharmacist In Charge · 631-572-7973
Provider Enumeration Date
August 27, 2021
Last Update Date
May 6, 2022
Certification Date
May 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Central Ave # 363
East Orange, NJ 07018
Zip
07018
Phone Number
973-666-5363
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
355 Central Ave # 363
East Orange, NJ 07018
City
East Orange
State
NJ
Zip
07018
Phone Number
973-666-5363

License Information

Taxonomy (1)
Pharmacy · 333600000X
Taxonomy (2)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Central Ave Pharmacy LLC?

The NPI number of Central Ave Pharmacy LLC is 1417624297. It was assigned on August 27, 2021 and is currently active in the NPPES registry.

What is the specialty of Central Ave Pharmacy LLC?

Central Ave Pharmacy LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X).

Where does Central Ave Pharmacy LLC practice?

The practice location is 355 Central Ave # 363, East Orange, NJ 07018. The office can be reached at 973-666-5363 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417624297 directly on the NPPES registry website.

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