Active NPIOrganization

Bayonne Pharmacy INC

Pharmacy, Community/Retail Pharmacy in Bayonne, New Jersey

NPI Number1639102940
Practice location
455 Broadway, Bayonne, NJ 07002-3623
Fax
201-858-1714
Last updated
March 11, 2010

Bayonne Pharmacy INC is a healthcare organization based in Bayonne, NJ. Bayonne Pharmacy INC practices in Bayonne, NJ. The NPI Number for Bayonne Pharmacy INC is 1639102940 and holds a License No. 28RS00532100 (NJ). The current practice location address for Bayonne Pharmacy INC is 455 Broadway, Bayonne, NJ 07002-3623 and can be reached out via phone at 201-339-1992 and via fax at 201-858-1714.

Provider Profile Details

NPI Number
1639102940
Provider Name
Bayonne Pharmacy INC
Provider Entity Type
Organization
Address
455 Broadway, Bayonne, NJ 07002-3623
Phone Number
201-339-1992
Fax Number
201-858-1714
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Mr. Michael L Bologh · Owner · 201-339-1992
Other Names
Jerrys Drug & Surgical Supply (Doing Business As)
Provider Enumeration Date
July 9, 2006
Last Update Date
March 11, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
455 Broadway
Bayonne, NJ 07002-3623
Zip
07002-3623
Phone Number
201-339-1992
Fax Number
201-858-1714
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
455 Broadway
Bayonne, NJ 07002-3623
City
Bayonne
State
NJ
Zip
07002-3623
Phone Number
201-339-1992
Fax Number
201-858-1714

License Information

License Number (1)
28RS00532100
License State (1)
NJ
Taxonomy (1)
Allergy & Immunology · 207K00000X
License Number (2)
28RS00532100
License State (2)
NJ
Taxonomy (5)
Prosthetic/Orthotic Supplier · 335E00000X
License Number (6)
28RS00532100
License State (6)
NJ
Taxonomy (6)
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 Bayonne Pharmacy INC?

The NPI number of Bayonne Pharmacy INC is 1639102940. It was assigned on July 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Bayonne Pharmacy INC?

Bayonne Pharmacy INC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number 28RS00532100.

Where does Bayonne Pharmacy INC practice?

The practice location is 455 Broadway, Bayonne, NJ 07002-3623. The office can be reached at 201-339-1992 (phone) or 201-858-1714 (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 1639102940 directly on the NPPES registry website.

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