# PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC
- **Other names:** VivaMed Pharmacy & Medical Supplies
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821897380
- **Legal business name:** PASSAIC PHARMACY AND MEDICAL SUPPLIES LLC
- **Authorized official:** DR. LOBNA OMAR (PHARMACIST IN CHARGE)
- **Authorized official phone:** (347) 259-0115

## Contact information

- **Practice address:** 156 PASSAIC ST, PASSAIC, NJ 07055-7392
- **Practice address phone:** (908) 382-0158
- **Practice address fax:** (908) 382-0156
- **Mailing address:** 156 PASSAIC ST, PASSAIC, NJ 07055-7392
- **Mailing address phone:** (908) 382-0158
- **Mailing address fax:** (908) 382-0156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 07/02/2026