GEORGIES WOOD AVENUE INC (NPI# 1831657360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831657360 |
Entity Type | Organization |
Organization Name | GEORGIES WOOD AVENUE INC |
Other Organization Name | ST. GEORGES SPECIALTY PHARMACY |
Practice Address |
521 N Wood Ave Linden NJ 07036-4146 |
Practice Telephone | 9089254566 |
Practice Fax Number | 9083455030 |
Mailing Telephone | 9089254566 |
Mailing Fax Number | 9083455030 |
Enumeration Date | 2019-03-04 |
Last Update Date | 2020-06-06 |
Authorized Official Name | VINEET PARIKH (CEO) |
Authorized Official Telephone | 9089254566 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | NJ BOARD OF PHARMACY | 28RS00770200 | 01 |
Other Name | Type Code |
---|---|
ST. GEORGES SPECIALTY PHARMACY | Doing Business As Name - Organization |
Street Address |
521 N WOOD AVE |
City | LINDEN |
State | NJ |
Zip Code | 07036-4146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417556572 | Dinesh T Patel | Pharmacist | 1050 West Edgar Road, Linden, NJ 07036 | 2020-10-20 |
1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
1447743778 | Dream | Counselor | 811 Ainsworth St, Linden, NJ 07036 | 2018-06-12 |
1619483997 | Erin Marie Sisk | Occupational Therapist | 210 St Georges Avenue, Linden, NJ 07036 | 2017-12-21 |
1225580251 | Erin Guidera | Physical Therapist | 548 Elmwood Terrace, Linden, NJ 07036 | 2016-10-25 |
1386066496 | Gyrlfriendz Beauty Salon | Specialist | 115 N. Wood Avenue, Linden, NJ 07036 | 2014-01-08 |
1750644829 | Ana F Ramos | Health Educator | 638 Lindegar, Linden, NJ 07036 | 2012-06-22 |
1639448616 | Advanced Family Medical Associates, PC | Clinic/Center | 901 North Wood Avenue, Linden, NJ 07036 | 2011-12-21 |
1710262217 | Gabriela Kostikova | Pharmacist | 22 St George Ave, Linden, NJ 07036 | 2011-10-15 |
1144503608 | Kimberly Theresa Hendricksen | Behavioral Analyst | 1112a University Terrace, Linden, NJ 07036 | 2011-09-21 |
Find all providers in zip 07036 |
Taxonomy Code | 3336S0011X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Specialty Pharmacy |
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
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] |
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1699152751 | Fenny Pharmacy LLC | Pharmacy | 129 Newark Ave Ste 2, Jersey City, NJ 07302-2811 | 2015-04-28 |
1316348147 | American Rx LLC | Pharmacy | 1200 High St N Ste 6, Millville, NJ 08332-2588 | 2014-09-11 |
1528474665 | Old Stone Pharmacy | Pharmacy | 28 W Grand Ave, Suite 6, Montvale, NJ 07645-2100 | 2014-07-09 |
1720401722 | Icare Pharmacy | Pharmacy | 194 Broad St Ste B, Bloomfield, NJ 07003-2606 | 2014-01-27 |
1760803019 | Tristate Wellness Pharmacy | Pharmacy | 290 Dunhams Corner Road, East Brunswick, NJ 08816 | 2014-01-03 |
Find all providers with the same taxonomy |
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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.