TARRYTOWN EXPOCARE NJ, LLC


Address: 281 Us Highway 46 Ste 100, Elmwood Park, NJ 07407-2419
Phone: 5126177312

TARRYTOWN EXPOCARE NJ, LLC (NPI# 1669038162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669038162
Entity Type Organization
Organization Name TARRYTOWN EXPOCARE NJ, LLC
Practice Address 281 Us Highway 46 Ste 100
Elmwood Park
NJ 07407-2419
Mailing Address 8500 Shoal Creek Blvd Bldg 1
Austin
TX 78757-6888
Practice Telephone 5126177312
Mailing Telephone 5126177312
Enumeration Date 2019-05-10
Last Update Date 2020-09-18
Authorized Official Name MARK NEWBERRY (MANAGING MEMBER)
Authorized Official Telephone 5126177312
Authorized Official Credential PHARMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Office Location

Street Address 281 US HIGHWAY 46 STE 100
City ELMWOOD PARK
State NJ
Zip Code 07407-2419

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265083687 Walaa Abdrabouh Pharmacist 281 Us Highway 46 Ste 100, Elmwood Park, NJ 07407-2419 2019-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063042406 Diana Marie Monteleon Registered Nurse 75 Miller Avenue, Elmwood Park, NJ 07407 2020-01-24
1427569102 Fastcare Medical Transportation Ambulance 62 Philip Ave, Elmwood, NJ 07407 2017-10-20
1376078642 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 2017-04-25
1457885048 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 2017-04-20
1295143196 Juan Quesada Student in an Organized Health Care Education/Training Program 21 Craig Court, Elmwood Park, NJ 07407 2014-07-24
1548546492 Pinnacle Mri Group, LLC Clinic/Center 97 Linden Avenue, Elmwood Park, NJ 07407 2011-10-24
1598914921 Aaron David Brisman Dentist 511 River Drive, Elmwood Park, NJ 07407 2008-09-10
1922267004 Borough of Elmwood Park Public Health or Welfare 182 Market Street, Health Department, Elmwood Park, NJ 07407 2008-06-04
1043477599 Deborah W. Buzaid Pathology 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 2008-05-21
1558571828 Yan Gao Fan Pathology 481 Edward H Ross Drive, Elmwood Park, NJ 07407 2007-05-23
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326652686 Worthkap Inc Pharmacy 1581 County Road 517 Village Square Mall, Allamuchy Township, NJ 07820 2020-09-03
1386271989 Clifton Drugs LLC Pharmacy 859 Clifton Ave, Clifton, NJ 07013-1715 2020-03-24
1386270742 East Orange Pharmacy Evergreeen LLC Pharmacy 60 Evergreen Pl Ste 104, East Orange, NJ 07018-2114 2020-03-18
1881238673 Hmh Residential Care, Inc Pharmacy 34 Industrial Way E, Eatontown, NJ 07724-3319 2019-11-05
1518517085 Integrated Medication Management Pharmacy 136 Gaither Dr Ste 120, Mount Laurel, NJ 08054-1725 2019-09-17
1063067767 Dsp Pharmacy LLC Pharmacy 1071 Rte 37 W Unit 10, Toms River, NJ 08755-5026 2019-08-08
1922653138 Jems Pharma LLC Pharmacy 301 High St, Burlington, NJ 08016-4411 2019-08-05
1073165403 Quick Mart Pharmacy & Convenience LLC Pharmacy 100 Ryders Ln Ste 5, Milltown, NJ 08850-1263 2019-07-16
1083271498 Rapps Ltc Pharmacy, LLC Pharmacy 1510 Park Ave Ste 104, South Plainfield, NJ 07080-5521 2019-05-21
1184181844 Bunting Pharmacy LLC Pharmacy 1337 New Rd Unit A, Northfield, NJ 08225-1249 2019-02-28
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Competitor

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City ELMWOOD PARK
Zip Code 07407

Improve Information

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Dataset Information

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.

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