Provider Type Icon

PRUDENTIAL HEALTHCARE NPI 1700047719


NPI Information

NPI: 1700047719
Provider Name: PRUDENTIAL HEALTHCARE

Doing Business As: PINTO'S PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
161 PALISADE AVE
JERSEY CITY, NJ
ZIP 07306
Phone: (201) 653-3154
Get Directions

PRUDENTIAL HEALTHCARE is a pharmacy in Jersey City, NJ. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PRUDENTIAL HEALTHCARE NPI is 1700047719. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinto's Pharmacy.

The provider's business location address is:

161 PALISADE AVE
JERSEY CITY, NJ
ZIP 07306-146
Phone: (201) 653-3154
Fax: (201) 653-7576

The provider's authorized official is Daya Barbaria .
The authorized official title is Owner and has the following contact phone number (201) 653-3154.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 4/23/2015.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
53336M0003XPharmacyManaged Care Organization PharmacyNo
6333600000XPharmacy28RS00707500NEW 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
12134634OTHERPK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.