Provider Type Icon

GALLOS LIVE WELL PHARMACY INC NPI 1861599797


NPI Information

NPI: 1861599797
Provider Name: GALLOS LIVE WELL PHARMACY INC

Doing Business As: GALLO'S HEALTH MART PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
192 ROCHELLE AVE
ROCHELLE PARK, NJ
ZIP 07662
Phone: (201) 843-1350
Get Directions

GALLOS LIVE WELL PHARMACY INC is a community/retail pharmacy pharmacy in Rochelle Park, 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. GALLOS LIVE WELL PHARMACY INC NPI is 1861599797. The provider is registered as an organization entity type.
The provider Is Doing Business As Gallo's Health Mart Pharmacy.

The provider's business location address is:

192 ROCHELLE AVE
ROCHELLE PARK, NJ
ZIP 07662-111
Phone: (201) 843-1350
Fax: (201) 843-2455

The provider's authorized official is Joseph Kubulak .
The authorized official title is President and has the following contact phone number (201) 843-1350.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 11/16/2016.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy28RS00388100NEW 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
16441860001MEDICARE NSC
22122854OTHERPK
30235351MEDICAIDNEW 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: 4/28/2024

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.