PASSAIC PHARMACY INC NPI 1679558597

NPI Information

  • NPI: 1679558597
  • Provider Name: PASSAIC PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: TONYS PHARMACY
  • Address: 291 MONROE ST
    PASSAIC, NJ
    ZIP 07055
  • Phone: (973) 777-3121

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NPI Details

PASSAIC PHARMACY INC is a community/retail pharmacy pharmacy in Passaic, 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. PASSAIC PHARMACY INC NPI is 1679558597. The provider is registered as an organization entity type.
The provider Is Doing Business As Tonys Pharmacy.

The provider's business location address is:

291 MONROE ST
PASSAIC, NJ
ZIP 07055-209
Phone: (973) 777-3121
Fax: (973) 777-3181

The provider's authorized official is Antonio Orestes Rodriguez .
The authorized official title is President and has the following contact phone number (973) 777-3121.

The enumeration date for this NPI number is 12/14/2005 and was last updated on 2/1/2010.

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
1333600000XPharmacy28RS00414400NEW JERSEYNo
23336C0004XPharmacyCompounding Pharmacy28RS00414400NEW JERSEYNo
3332B00000XDurable Medical Equipment & Medical Supplies28RS00414400NEW JERSEYNo
43336C0003XPharmacyCommunity/Retail Pharmacy28RS00414400NEW 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
14080980001MEDICARE NSCNEW JERSEY
21657801MEDICAIDNEW JERSEY
34396707MEDICAIDNEW JERSEY
44080980001MEDICARE PINNEW 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: 11/21/2025

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