JEN PHARMA INC (NPI# 1154362036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154362036 |
| Entity Type | Organization |
| Organization Name | JEN PHARMA INC |
| Other Organization Name | SUMMER AVENUE PHARMACY |
| Practice Address |
205 Summer Ave Newark NJ 07104-2628 |
| Practice Telephone | 9734813388 |
| Practice Fax Number | 9734810625 |
| Mailing Telephone | 9734813388 |
| Mailing Fax Number | 9734810625 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | SMITHA DASARI (PRESIDENT) |
| Authorized Official Telephone | 9734813388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00706100 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126667 | 01 |
| Other Name | Type Code |
|---|---|
| SUMMER AVENUE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770137267 | Jen Pharma Inc | Pharmacy | 205 Summer Ave, Newark, NJ 07104-2628 | 2019-08-01 |
| Street Address |
205 SUMMER AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285780 | Claudia E Berdugo | Internal Medicine | 205 Summer Ave, Newark, NJ 07104-2628 | 2005-09-16 |
| 1619515509 | Hyunjin Kim | Pharmacist | 205 Summer Ave, Newark, NJ 07104-2628 | 2019-12-11 |
| 1770137267 | Jen Pharma Inc | Pharmacy | 205 Summer Ave, Newark, NJ 07104-2628 | 2019-08-01 |
| 1609378090 | Arvind Koganti | Pharmacist | 205 Summer Ave, Newark, NJ 07104-2628 | 2018-03-01 |
| 1164939542 | Hyun A Kim | Pharmacist | 205 Summer Ave, Newark, NJ 07104-2628 | 2018-01-06 |
| 1477899243 | Vinatha Vukanti | Pharmacist | 205 Summer Ave, Newark, NJ 07104-2628 | 2012-12-21 |
| 1063449023 | Pri Med Care Pa | Internal Medicine | 205 Summer Ave, Newark, NJ 07104 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740812155 | Connie Man | Pharmacy | 6170 Thornton Ave Ste E, Newark, CA 94560-3700 | 2020-02-05 |
| 1083250773 | Newark Pharmacy LLC | Pharmacy | 635 Market St Unit 1c, Newark, NJ 07105-3618 | 2019-11-18 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1730677998 | Delaware Cvs Pharmacy LLC | Pharmacy | 604 Corner Ketch Rd, Newark, DE 19711-2901 | 2018-04-24 |
| 1376052670 | Obeng Pharmacy LLC | Pharmacy | 95 Broadway, Newark, NJ 07104-3875 | 2017-09-29 |
| 1366893851 | Nikkys Pharmacy LLC | Pharmacy | 342-344 Hawthorne Ave, Newark, NJ 07112-1688 | 2016-06-26 |
| 1437539103 | Newark Shoprite LLC | Pharmacy | 206 Springfield Ave, Newark, NJ 07103-2916 | 2015-06-08 |
| 1346658143 | Rite Aid | Pharmacy | 42 Ferry St, Newark, NJ 07105-2979 | 2014-07-25 |
| 1952721847 | St Peter Pharmacy | Pharmacy | 15-17 Ropes Pl, #106, Newark, NJ 07107-4803 | 2014-04-18 |
| 1649699042 | 709 Ace Pharmacy | Pharmacy | 709 Frelinghuysen Ave, Newark, NJ 07114-1304 | 2014-04-14 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.