Provider Demographics
NPI:1033278874
Name:ONYEZE, INC
Entity Type:Organization
Organization Name:ONYEZE, INC
Other - Org Name:SCOTT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:E
Authorized Official - Last Name:NKWONTA
Authorized Official - Suffix:
Authorized Official - Credentials:BPHARM
Authorized Official - Phone:908-754-1600
Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1636
Mailing Address - Country:US
Mailing Address - Phone:908-754-1600
Mailing Address - Fax:908-756-6270
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1636
Practice Address - Country:US
Practice Address - Phone:908-754-1600
Practice Address - Fax:908-756-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5892333600000X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3114270OtherNCPDP
NJD08431500OtherCDS NUMBER
NJ8546304Medicaid
NJ5892OtherREGISTRATION NUMBER
NJ5892OtherREGISTRATION NUMBER
3114270OtherNCPDP