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JEMMISON CORP NPI 1538241328


NPI Information

NPI: 1538241328
Provider Name: JEMMISON CORP

Doing Business As: STATION PHARMACY WINES AND LIQUOR

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
148 SOUTH ST
NEWARK, NJ
ZIP 07114
Phone: (973) 589-9192
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JEMMISON CORP is a community/retail pharmacy pharmacy in Newark, NJ. The provider is 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. JEMMISON CORP NPI is 1538241328. The provider is registered as an organization entity type.
The provider Is Doing Business As Station Pharmacy Wines And Liquor.

The provider's business location address is:

148 SOUTH ST
NEWARK, NJ
ZIP 07114-719
Phone: (973) 589-9192
Fax: (973) 589-6686

The provider's authorized official is Jerry Znak .
The authorized official title is President and has the following contact phone number (973) 589-9192.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 10/26/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy28RS0035900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13126679OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
24358104MEDICAIDNEW JERSEY
30530310001MEDICARE NSC
41576305MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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