Tonys Pharmacy

LBN: 21St Ave Pharmacy Inc.
Tonys Pharmacy is an health care organization with primary practice located at 357 21St Ave , Paterson NJ 07501-3642. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 21St Ave Pharmacy Inc. can be contacted via phone (973) 742-1235, or through Rodriguez, Antonio Orestes via phone (973) 742-1235.

Contact Information

Primary practice address
357 21St Ave Paterson NJ 07501-3642
Fax: (973) 742-0353
Website:
Authorized official contact:
Name: Rodriguez, Antonio Orestes

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RS00334800 New Jersey
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 28RS003348 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS003348 New Jersey

Profile Details

NPI number 1336124593
LBN Legal business name 21St Ave Pharmacy Inc.
DBA Doing business as Tonys Pharmacy
Authorized official Rodriguez, Antonio Orestes
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Feb 19th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336124593 NPPES
New Jersey MEDICAID 0107905
New Jersey MEDICAID 4344600

Popular Providers