BAYONNE PHARMACY INC NPI 1639102940

NPI Information

NPI: 1639102940
Provider Name: BAYONNE PHARMACY INC

Doing Business As: JERRYS DRUG & SURGICAL SUPPLY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
455 BROADWAY
BAYONNE, NJ
ZIP 07002
Phone: (201) 339-1992
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BAYONNE PHARMACY INC is a community/retail pharmacy pharmacy in Bayonne, 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. BAYONNE PHARMACY INC NPI is 1639102940. The provider is registered as an organization entity type.
The provider Is Doing Business As Jerrys Drug & Surgical Supply.

The provider's business location address is:

455 BROADWAY
BAYONNE, NJ
ZIP 07002-623
Phone: (201) 339-1992
Fax: (201) 858-1714

The provider's authorized official is Michael L Bologh .
The authorized official title is Owner and has the following contact phone number (201) 339-1992.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 3/11/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		28RS00532100	NEW JERSEY	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
4	335E00000X	Prosthetic/Orthotic Supplier				No
5	207K00000X	Allergy & Immunology		28RS00532100	NEW JERSEY	No
6	3336C0003X	Pharmacy	Community/Retail Pharmacy	28RS00532100	NEW JERSEY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7195613	MEDICAID	NEW JERSEY
2	7195605	MEDICAID	NEW JERSEY
3	0212100001	MEDICARE ID-TYPE UNSPECIFIED	NEW 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: 5/5/2024

NPI Synchronization or Removal

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