Jea Ava Maria LLC
Pharmacy, Community/Retail Pharmacy in Boonton, New Jersey
1457029563- Practice location
- 203 Main St, Boonton, NJ 07005-1749
- Phone
- 973-334-0519
- Fax
- 973-334-9390
- Last updated
- September 2, 2021
Jea Ava Maria LLC is a healthcare organization based in Boonton, NJ. Jea Ava Maria LLC practices in Boonton, NJ. The NPI Number for Jea Ava Maria LLC is 1457029563. The current practice location address for Jea Ava Maria LLC is 203 Main St, Boonton, NJ 07005-1749 and can be reached out via phone at 973-334-0519 and via fax at 973-334-9390.
Provider Profile Details
- NPI Number
- 1457029563
- Provider Name
- Jea Ava Maria LLC
- Provider Entity Type
- Organization
- Address
- 203 Main St, Boonton, NJ 07005-1749
- Phone Number
- 973-334-0519
- Fax Number
- 973-334-9390
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- John Ghaly · Managing Member · 973-334-0519
- Other Names
- Main Pharmacy (Doing Business As)
- Provider Enumeration Date
- September 2, 2021
- Last Update Date
- September 2, 2021
- Certification Date
- September 2, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 203 Main St
Boonton, NJ 07005-1749 - City
- Boonton
- State
- New Jersey
- Zip
- 07005-1749
- Phone Number
- 973-334-0519
- Fax Number
- 973-334-9390
Provider Business Mailing Address Details
- Address
- 203 Main St
Boonton, NJ 07005-1749 - City
- Boonton
- State
- NJ
- Zip
- 07005-1749
- Phone Number
- 973-334-0519
- Fax Number
- 973-334-9390
License Information
- Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jea Ava Maria LLC?
The NPI number of Jea Ava Maria LLC is 1457029563. It was assigned on September 2, 2021 and is currently active in the NPPES registry.
What is the specialty of Jea Ava Maria LLC?
Jea Ava Maria LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X).
Where does Jea Ava Maria LLC practice?
The practice location is 203 Main St, Boonton, NJ 07005-1749. The office can be reached at 973-334-0519 (phone) or 973-334-9390 (fax).
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 1457029563 directly on the NPPES registry website.