15W Pharmacy-Newark

LBN: 15W Pharmacy Inc
15W Pharmacy-Newark is an health care organization with primary practice located at 65 Jay St , Newark NJ 07103-3235. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. 15W Pharmacy Inc can be contacted via phone (732) 346-1333, or through Mccann, Donna M via phone (732) 346-1333.

Contact Information

Primary practice address
65 Jay St Newark NJ 07103-3235
Phone: (732) 346-1333
Fax: (732) 346-9221
Website:
Map and Directions
Authorized official contact:
Name: Mccann, Donna M
Phone: (732) 346-1333

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 28RS00581200 New Jersey
Suppliers / Pharmacy 333600000X 28RS00581200 New Jersey
Suppliers / Community/Retail Pharmacy 3336C0003X 28RS000581200 New Jersey
Suppliers / Long Term Care Pharmacy 3336L0003X 28RS00581200 New Jersey

Profile Details

NPI number 1558451427
LBN Legal business name 15W Pharmacy Inc
DBA Doing business as 15W Pharmacy-Newark
Authorized official Mccann, Donna M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558451427 NPPES
New Jersey MEDICAID 8139300
New Jersey MEDICAID 8139318
New Jersey MEDICAID 1007737970001

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