Jerrys Drug & Surgical Supply

LBN: Bayonne Pharmacy Inc
Jerrys Drug & Surgical Supply is an health care organization with primary practice located at 455 Broadway , Bayonne NJ 07002-3623. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Community/Retail Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bayonne Pharmacy Inc can be contacted via phone (201) 339-1992, or through Bologh, Michael L via phone (201) 339-1992.

Contact Information

Primary practice address
455 Broadway Bayonne NJ 07002-3623
Phone: (201) 339-1992
Fax: (201) 858-1714
Website:
Map and Directions
Authorized official contact:
Name: Bologh, Michael L
Phone: (201) 339-1992

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 28RS00532100 New Jersey
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 28RS00532100 New Jersey
Suppliers / Customized Equipment 332BC3200X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00532100 New Jersey
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1639102940
LBN Legal business name Bayonne Pharmacy Inc
DBA Doing business as Jerrys Drug & Surgical Supply
Authorized official Bologh, Michael L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Mar 11th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639102940 NPPES
New Jersey MEDICAID 7195613
New Jersey MEDICAID 7195605

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