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ANGELOS PHARMACEUTICAL SERVICES INC. NPI 1548726813


NPI Information

NPI: 1548726813
Provider Name: ANGELOS PHARMACEUTICAL SERVICES, INC.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 31D2186581

Address:
492 FERRY ST
NEWARK, NJ
ZIP 07105
Phone: (973) 589-6530
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ANGELOS PHARMACEUTICAL SERVICES, INC. is a long term care pharmacy pharmacy in Newark, NJ. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ANGELOS PHARMACEUTICAL SERVICES, INC. NPI is 1548726813. The provider is registered as an organization entity type.

The provider's business location address is:

492 FERRY ST
NEWARK, NJ
ZIP 07105-925
Phone: (973) 589-6530

The provider's authorized official is Jesus Suarez .
The authorized official title is President and has the following contact phone number (973) 589-6530.

The CLIA number assigned to this NPI record is 31D2186581 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/12/2019.


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
13336L0003XPharmacyLong Term Care PharmacyYes

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
10066320MEDICAIDNEW 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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