Active NPIOrganization

Phoenix Specialty Pharmacy Corp

Pharmacy, Community/Retail Pharmacy in Weehawken, New Jersey

NPI Number1811762131
Practice location
4100 Park Ave, Weehawken, NJ 07086-6196
Fax
877-811-1227
Last updated
September 11, 2025

Phoenix Specialty Pharmacy Corp is a healthcare organization based in Weehawken, NJ. Phoenix Specialty Pharmacy Corp practices in Weehawken, NJ. The NPI Number for Phoenix Specialty Pharmacy Corp is 1811762131. The current practice location address for Phoenix Specialty Pharmacy Corp is 4100 Park Ave, Weehawken, NJ 07086-6196 and can be reached out via phone at 201-453-3114 and via fax at 877-811-1227.

Provider Profile Details

NPI Number
1811762131
Provider Name
Phoenix Specialty Pharmacy Corp
Provider Entity Type
Organization
Address
4100 Park Ave, Weehawken, NJ 07086-6196
Phone Number
201-453-3114
Fax Number
877-811-1227
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Natavan Nasirov · President · 201-453-3114
Other Names
Phoenix Rx (Doing Business As)
Provider Enumeration Date
November 16, 2023
Last Update Date
September 11, 2025
Certification Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4100 Park Ave
Weehawken, NJ 07086-6196
Zip
07086-6196
Phone Number
201-453-3114
Fax Number
877-811-1227
Weehawken, NJ 07086Get directions →

Provider Business Mailing Address Details

Address
4100 Park Ave
Weehawken, NJ 07086-6132
City
Weehawken
State
NJ
Zip
07086-6132
Phone Number
201-453-3114
Fax Number
877-811-1227

License Information

Taxonomy
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 Phoenix Specialty Pharmacy Corp?

The NPI number of Phoenix Specialty Pharmacy Corp is 1811762131. It was assigned on November 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Phoenix Specialty Pharmacy Corp?

Phoenix Specialty Pharmacy Corp is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X).

Where does Phoenix Specialty Pharmacy Corp practice?

The practice location is 4100 Park Ave, Weehawken, NJ 07086-6196. The office can be reached at 201-453-3114 (phone) or 877-811-1227 (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 1811762131 directly on the NPPES registry website.

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