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447 WILLIAM ST LLC NPI 1073015467


NPI Information

NPI: 1073015467
Provider Name: 447 WILLIAM ST LLC

Doing Business As: E-Z CARE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 31D2221139

Address:
447 WILLIAM ST
EAST ORANGE, NJ
ZIP 07017
Phone: (862) 520-1063
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447 WILLIAM ST LLC is a community/retail pharmacy pharmacy in East Orange, 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. 447 WILLIAM ST LLC NPI is 1073015467. The provider is registered as an organization entity type.
The provider Is Doing Business As E-z Care Pharmacy.

The provider's business location address is:

447 WILLIAM ST
EAST ORANGE, NJ
ZIP 07017-204
Phone: (862) 520-1063

The provider's authorized official is Umesh Patel .
The authorized official title is Member and has the following contact phone number (201) 887-4405.

The CLIA number assigned to this NPI record is 31D2221139 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2018 and was last updated on 5/24/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy28RS00760100NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10622052MEDICAIDNEW 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

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