Organization · Type 2 NPI

Food Basics Inc

Pharmacy · North Bergen, NJ

NPI number 1336164995 Active

Practice location

1417 Kennedy Blvd # 27
North Bergen, NJ 07047-6307

Call (201) 864-5617 Map

Fax (201) 864-5623

Mailing address

PO Box 416369
Boston, MA 02241-6369

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	06238 (NJ)
Pharmacy Primary	333600000X	06238 (NJ)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1336164995
Entity type: Organization (Type 2)
Issued: Jul 13, 2006
Last updated: Oct 11, 2011
Status: Active
Subpart: Yes of Great Atlantic & Pacific Tea Co., Inc.

Other names

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Drug Basics Pharmacy #512 · doing business as

Authorized official

Susan Kijowski
Manager, Regulatory Compliance
(201) 571-8326

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336164995

Food Basics Inc's National Provider Identifier is 1336164995, issued on Jul 13, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in North Bergen, NJ. The record was last updated on Oct 11, 2011.