PASSAIC COMMUNITY PHARMACY INC NPI 1811416399

NPI Information

  • NPI: 1811416399
  • Provider Name: PASSAIC COMMUNITY PHARMACY INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 339 PASSAIC ST
    PASSAIC, NJ
    ZIP 07055
  • Phone: (973) 471-0160

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NPI Details

PASSAIC COMMUNITY PHARMACY INC is a durable medical equipment medical supplies in Passaic, NJ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PASSAIC COMMUNITY PHARMACY INC NPI is 1811416399. The provider is registered as an organization entity type.

The provider's business location address is:

339 PASSAIC ST
PASSAIC, NJ
ZIP 07055-818
Phone: (973) 471-0160
Fax: (973) 471-0110

The provider's authorized official is Sam Awad .
The authorized official title is Officer and has the following contact phone number (973) 471-0160.

The enumeration date for this NPI number is 9/15/2017 and was last updated on 6/16/2018.

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
1332B00000XDurable Medical Equipment & Medical Supplies28RS00592100NEW 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
18428310MEDICAIDNEW 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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