Prudential Healthcare is a Specialty Pharmacy based in Jersey City, NJ and is specialized in Specialty Pharmacy. Prudential Healthcare practices in Jersey City, NJ. The NPI Number for Prudential Healthcare is 1700047719 and holds a License No. (New Jersey).
The current practice location address for Prudential Healthcare is 161 Palisade Ave, Jersey City, NJ and can be reached out via phone at 201-653-3154 and via fax at 201-653-7576.
Location: 161 Palisade Ave, Jersey City, NJ, 07306-1146
Provider Profile Details
NPI Number
1700047719
Provider Name
Prudential Healthcare
Credential
Provider Entity Type
Organization
Address
161 Palisade Ave, Jersey City, NJ, 07306-1146
Phone Number
201-653-3154
Fax Number
201-653-7576
Provider Enumeration Date
06/23/2008
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134634 | 01 | PK |
Provider Business Practice Location Address Details
Address
161 Palisade Ave
City
State
Zip
07306-1146
Phone Number
201-653-3154
Fax Number
201-653-7576
Provider Business Mailing Address Details
Address
161 Palisade Ave
City
State
Zip
07306-1146
Phone Number
201-653-3154
Fax Number
201-653-7576
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
License No.
28RS00707500 (New Jersey)
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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