NIKKYS PHARMACY LLC (NPI# 1366893851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366893851 |
Entity Type | Organization |
Organization Name | NIKKYS PHARMACY LLC |
Other Organization Name | NIKKY'S PHARMACY LLC |
Practice Address |
342-344 Hawthorne Ave Newark NJ 07112-1688 |
Practice Telephone | 9733746480 |
Practice Fax Number | 9733746730 |
Mailing Telephone | 9733746480 |
Mailing Fax Number | 9733746730 |
Enumeration Date | 2016-06-26 |
Last Update Date | 2017-01-17 |
Authorized Official Name | MICHAEL LUDWIG (PHARMACIST) |
Authorized Official Telephone | 9733746480 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | 28RS00751800 | NJ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2165963 | 01 |
Other Name | Type Code |
---|---|
Nikky's Pharmacy LLC | Doing Business As Name - Organization |
Street Address |
342-344 HAWTHORNE AVE |
City | NEWARK |
State | NJ |
Zip Code | 07112-1688 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962945931 | Michael Ludwig | Pharmacist | 342-344 Hawthorne Ave, Newark, NJ 07112-1688 | 2016-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
Find all providers in zip 07112 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
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. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
1518438506 | Delaware Apothecary | Pharmacy | 1215 Churchmans Rd, Newark, DE 19713-2149 | 2018-12-17 |
1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
1770011371 | Apollo Pharmacy Inc | Pharmacy | 130 Summer Ave, Newark, NJ 07104-1903 | 2017-05-25 |
1235681032 | Jcpr Corp | Pharmacy | 2600 Glasgow Ave Ste 108, Newark, DE 19702-5703 | 2016-10-27 |
1750835104 | Trinity Global Pharmacy LLC. | Pharmacy | 287 S Orange Ave, Newark, NJ 07103-2438 | 2016-08-14 |
1184000622 | Metro Pharmacy Inc | Pharmacy | 620 Stanton Christiana Rd Ste 102, Newark, DE 19713-2134 | 2015-08-06 |
1538557178 | Obeng Pharmacy LLC | Pharmacy | 671 Martin Luther King Jr Blvd, Newark, NJ 07102-1186 | 2015-01-06 |
1790917037 | Trimax Medical Services Inc | Pharmacy | 1299 Mccarter Hwy, Newark, NJ 07104-3757 | 2009-08-20 |
1720241649 | Option Care Enterprises Inc | Pharmacy | 604 White Clay Center Dr, Newark, DE 19711 | 2008-07-10 |
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.