SUMMIT PHARMACY GROUP LLC (NPI# 1356497770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356497770 |
Entity Type | Organization |
Organization Name | SUMMIT PHARMACY GROUP LLC |
Other Organization Name | HEALTH CARE PHARMACY |
Practice Address |
103 Summit Ave Jersey City NJ 07304-3021 |
Practice Telephone | 2013336968 |
Practice Fax Number | 2013336883 |
Mailing Telephone | 2013336968 |
Mailing Fax Number | 2013336883 |
Enumeration Date | 2007-01-26 |
Last Update Date | 2017-01-19 |
Authorized Official Name | SREEDHAR VAJINEPALLI (PRESIDENT) |
Authorized Official Telephone | 2013336968 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00655700 | NJ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2159772 | 01 |
Other Name | Type Code |
---|---|
health care pharmacy | Doing Business As Name - Organization |
Street Address |
103 SUMMIT AVE |
City | JERSEY CITY |
State | NJ |
Zip Code | 07304-3021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
Find all providers in zip 07304 |
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 |
---|---|---|---|---|
1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
1003461922 | The Square Pharmacy LLC | Pharmacy | 30 Journal Square Plz, Jersey City, NJ 07306-3847 | 2019-08-07 |
1982109880 | Differx Pharmacy LLC | Pharmacy | 492 Central Ave, Jersey City, NJ 07307-2646 | 2018-03-24 |
1356855480 | Greenville Pharmacy LLC | Pharmacy | 1850 John F Kennedy Blvd, Jersey City, NJ 07305-2122 | 2017-11-28 |
1649688524 | Perfect Care Pharmacy | Pharmacy | 1727 John F Kennedy Blvd, Jersey City, NJ 07305-1920 | 2014-07-24 |
1770920704 | Mcginley Pharmacy, Inc. | Pharmacy | 683 Montgomery St, Jersey City, NJ 07306-3323 | 2013-05-31 |
1316256290 | Good Time Pharmacy LLC | Pharmacy | 2801 Kennedy Blvd, Ste 10, Jersey City, NJ 07306 | 2010-09-27 |
1770617037 | Aha Pharmaceutical Corporation | Pharmacy | 2980 Kennedy Blvd., Jersey City, NJ 07306 | 2007-03-16 |
1447315700 | Normans Pharmacy Inc | Pharmacy | 501 Jersey Ave, Jersey City, NJ 07302-3457 | 2006-12-27 |
1376608703 | Sri Srinivasa Pharma Inc | Pharmacy | 119 Ocean Ave, Jersey City, NJ 07305 | 2006-12-26 |
Find all providers in JERSEY CITY |
City | JERSEY CITY |
Zip Code | 07304 |
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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.