Provider Demographics
NPI:1093892481
Name:NAIEM PHARMACY CORPORATION
Entity Type:Organization
Organization Name:NAIEM PHARMACY CORPORATION
Other - Org Name:GOLDIN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:STAFF PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASMA
Authorized Official - Middle Name:NAIEM
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:973-942-2744
Mailing Address - Street 1:281 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1405
Mailing Address - Country:US
Mailing Address - Phone:973-942-2744
Mailing Address - Fax:973-942-3607
Practice Address - Street 1:281 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1405
Practice Address - Country:US
Practice Address - Phone:973-942-2744
Practice Address - Fax:973-942-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31211483336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3121148OtherNABP
NJ4360401Medicaid
NJ3121148OtherNABP