BETHEL PHARMACY (NPI# 1982758330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982758330 |
| Entity Type | Organization |
| Organization Name | BETHEL PHARMACY |
| Practice Address |
301 Osborne Ter Newark NJ 07112-2153 |
| Practice Telephone | 9733910101 |
| Practice Fax Number | 9733910107 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | ADEMOLA SALAMI (PIC) |
| Authorized Official Telephone | 9733910101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00627600 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3145578 | 01 | |
| NJ | 0018546 | 05 | |
| OTHER ID NUMBER | 3145578 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BETHEL PHARMACY INC. | 3572 Route 55, Bethel, Ny 12720 |
| Washington State Corporations | BETHEL PHARMACY INC. | 17414 Highway 99 Ste 100, Lynnwood, WA 98037-3112 |
| Street Address |
301 OSBORNE TER |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750531596 | Prudent Health Corporation | Durable Medical Equipment & Medical Supplies | 301 Osborne Ter, Newark, NJ 07112-2153 | 2008-09-30 |
| 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 | 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 |
|---|---|---|---|---|
| 1740812155 | Connie Man | Pharmacy | 6170 Thornton Ave Ste E, Newark, CA 94560-3700 | 2020-02-05 |
| 1083250773 | Newark Pharmacy LLC | Pharmacy | 635 Market St Unit 1c, Newark, NJ 07105-3618 | 2019-11-18 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1730677998 | Delaware Cvs Pharmacy LLC | Pharmacy | 604 Corner Ketch Rd, Newark, DE 19711-2901 | 2018-04-24 |
| 1376052670 | Obeng Pharmacy LLC | Pharmacy | 95 Broadway, Newark, NJ 07104-3875 | 2017-09-29 |
| 1366893851 | Nikkys Pharmacy LLC | Pharmacy | 342-344 Hawthorne Ave, Newark, NJ 07112-1688 | 2016-06-26 |
| 1437539103 | Newark Shoprite LLC | Pharmacy | 206 Springfield Ave, Newark, NJ 07103-2916 | 2015-06-08 |
| 1346658143 | Rite Aid | Pharmacy | 42 Ferry St, Newark, NJ 07105-2979 | 2014-07-25 |
| 1952721847 | St Peter Pharmacy | Pharmacy | 15-17 Ropes Pl, #106, Newark, NJ 07107-4803 | 2014-04-18 |
| 1649699042 | 709 Ace Pharmacy | Pharmacy | 709 Frelinghuysen Ave, Newark, NJ 07114-1304 | 2014-04-14 |
| 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.