Organization
OBENG PHARMACY LLC
Active
Other names
Obeng Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADJE KOFFI (CEO)
(862) 237-7601
Entity
Organization
Contact information
Practice address
671 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-1186
(862) 237-7601
(862) 237-7603
Mailing address
671 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-1186
(862) 237-7601
(862) 237-7603
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00737900
NJ
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149434
PK
—
Enumeration date
01/06/2015
Last updated
01/04/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up