Summer Avenue Pharmacy

LBN: Jen Pharma Inc
Summer Avenue Pharmacy is an health care organization with primary practice located at 205 Summer Ave , Newark NJ 07104-2628. 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. Jen Pharma Inc can be contacted via phone (973) 481-3388, or through Dasari, Smitha via phone (973) 481-3388.

Contact Information

Primary practice address
205 Summer Ave Newark NJ 07104-2628
Phone: (973) 481-3388
Fax: (973) 481-0625
Website:
Map and Directions
Authorized official contact:
Name: Dasari, Smitha
Phone: (973) 481-3388

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS00706100 New Jersey

Profile Details

NPI number 1154362036
LBN Legal business name Jen Pharma Inc
DBA Doing business as Summer Avenue Pharmacy
Authorized official Dasari, Smitha
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Feb 9th, 2023 - about last year

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 1154362036 NPPES
Other 2126667 PK

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