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TESH NPI 1629116033


NPI Information

NPI: 1629116033
Provider Name: TESH

Doing Business As: CLINTON PHARMACY & HEALTHCARE CENTER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 31D2205342

Address:
784 CLINTON AVE
NEWARK, NJ
ZIP 07108
Phone: (973) 375-6003
Get Directions

TESH 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. TESH NPI is 1629116033. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinton Pharmacy & Healthcare Center.

The provider's business location address is:

784 CLINTON AVE
NEWARK, NJ
ZIP 07108-045
Phone: (973) 375-6003
Fax: (973) 375-4861

The provider's authorized official is Mohamed Ehab Solaman .
The authorized official title is Pharmacist and has the following contact phone number (973) 375-6003.

The CLIA number assigned to this NPI record is 31D2205342 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 2/25/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesRS006810NEW JERSEYNo
23336C0003XPharmacyCommunity/Retail PharmacyRS006810NEW 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
10189219MEDICAIDNEW JERSEY
26225140001MEDICARE NSC

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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