PROSPECT PHARMACY LLC (NPI# 1750391173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750391173 |
| Entity Type | Organization |
| Organization Name | PROSPECT PHARMACY LLC |
| Practice Address |
214 Haledon Ave Prospect Park NJ 07508-2024 |
| Practice Telephone | 9733891311 |
| Practice Fax Number | 9733892315 |
| Mailing Telephone | 9733891311 |
| Mailing Fax Number | 9733892315 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | MR. NASER M. OBEIDALLAH (PHARMACIT IN CHARGE) |
| Authorized Official Telephone | 9733891311 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00616500 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NABP# | 3144792 | 01 |
| NJ | 8956405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952754475 | Prospect Pharmacy LLC | Pharmacy | 9549-b Us Highway 42, Prospect, KY 40059 | 2016-07-20 |
| 1750707725 | Prospect Pharmacy LLC | Pharmacy | 166 Waterbury Rd, 302, Prospect, CT 06712-1200 | 2014-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PROSPECT PHARMACY LLC | 166 Waterbury Rd., Ste. 302, Prospect, CT 06712 |
| New York State Corporations | PROSPECT PHARMACY LLC | 1013b Prospect Avenue, Westbury, Ny 11590 |
| Street Address |
214 HALEDON AVE |
| City | PROSPECT PARK |
| State | NJ |
| Zip Code | 07508-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427068857 | Naser M Obeidallah | Pharmacist | 214 Haledon Ave, Prospect Park, NJ 07508-2024 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588151047 | Life Opportunities Unlimited: A Non Profit Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Beam Place, Haledon, NJ 07508 | 2018-04-19 |
| 1508214099 | Diamond Years Adult Medical Day Care Center LLC | Clinic/Center | 360 West Clinton Street, Haledon, NJ 07508 | 2016-05-25 |
| 1922490838 | Fatima Evans | Licensed Practical Nurse | 232 Northb 12place, Prospectpark, NJ 07508 | 2015-03-02 |
| 1740415900 | Kristine Y. Salva | Nurse Practitioner | 4 Aspen Terrace, North Haledon, NJ 07508 | 2009-05-18 |
| 1669630810 | William J Trotter | Dentist | 475 High Mt Rd, North Halendon, NJ 07508 | 2008-05-23 |
| 1528107828 | Jeffrey Robert Schreiber | Psychologist | 546 High Mountain Road, North Haledon, NJ 07508 | 2007-02-05 |
| 1427109412 | Rehabilitation Associates of Prospect Park | Specialist | 265 N 9th St, Prospect Park, NJ 07508 | 2007-01-16 |
| 1598820557 | Charles Kerry Gleason | Chiropractor | 438 Haledon Avenue, Haledon, NJ 07508 | 2006-12-27 |
| 1245317296 | Jawdat Varoqua | Dentist | 318 Haledon Ave, Prospect Park, NJ 07508 | 2006-11-01 |
| 1427134162 | T & F Drugs Inc | Pharmacy | 467 High Mountain Rd, North Haledon, NJ 07508 | 2006-10-27 |
| Find all providers in zip 07508 | ||||
| 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 |
|---|---|---|---|---|
| 1558842021 | Dawa Pharmacy LLC | Pharmacy | 70 Brown Ave, Prospect Park, NJ 07508-2016 | 2018-08-23 |
| 1780788562 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 702 Chester Pike, Prospect Park, PA 19076-1601 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1881292894 | Morristown Rx LLC | Pharmacy | 95 Madison Ave Ste 110, Morristown, NJ 07960-7331 | 2020-10-12 |
| 1720686900 | Rome Rx LLC | Pharmacy | 3131 Route 38 Ste 20, Mount Laurel, NJ 08054-9764 | 2020-10-11 |
| 1255939492 | Jj Pharmacy | Pharmacy | 119 Broad Ave, Palisades Park, NJ 07650-1441 | 2020-10-10 |
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1578170569 | New Jersery Cvs Pharmacy LLC | Pharmacy | 750 Memorial Pkwy, Phillipsburg, NJ 08865-1679 | 2020-09-24 |
| 1770196693 | Dharmsutay LLC | Pharmacy | 1905 Route 88 Ste 5, Brick, NJ 08724-3156 | 2020-08-29 |
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | PROSPECT PARK |
| Zip Code | 07508 |
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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.