Organization
PASSAIC PHARMACY INC
Active
Other names
TONYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO ORESTES RODRIGUEZ (PRESIDENT)
(973) 777-3121
Entity
Organization
Contact information
Practice address
291 MONROE ST, PASSAIC, NJ 07055-5209
(973) 777-3121
(973) 777-3181
Mailing address
291 MONROE ST, PASSAIC, NJ 07055-5209
(973) 777-3121
(973) 777-3181
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
28RS00414400
NJ
333600000X
Pharmacy
28RS00414400
NJ
3336C0003X
Community/Retail Pharmacy
Primary
28RS00414400
NJ
3336C0004X
Compounding Pharmacy
28RS00414400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1657801
—
NJ
05
—
4396707
—
NJ
Enumeration date
12/14/2005
Last updated
02/01/2010
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