Chancellor Pharmacy

LBN: Chancellor Pharmacy
Chancellor Pharmacy is an health care organization with primary practice located at 894 Chancellor Ave , Irvington NJ 07111-1214. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Chancellor Pharmacy can be contacted via phone (973) 399-2700, or through Patel, Rinaben via phone (973) 399-2700.

Contact Information

Primary practice address
894 Chancellor Ave Irvington NJ 07111-1214
Phone: (973) 399-2700
Fax: (973) 399-2701
Website:
Map and Directions
Authorized official contact:
Name: Patel, Rinaben
Phone: (973) 399-2700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00714200 New Jersey

Profile Details

NPI number 1174805774
LBN Legal business name Chancellor Pharmacy
DBA Doing business as Chancellor Pharmacy
Authorized official Patel, Rinaben
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2011
Last updated Apr 17th, 2017 - about 7 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 1174805774 NPPES
New Jersey MEDICAID 0290017
New Jersey Other 2131872

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