Provider Demographics
NPI:1326083536
Name:SAINT MICHAEL PHARMACEUTICALS LLC
Entity Type:Organization
Organization Name:SAINT MICHAEL PHARMACEUTICALS LLC
Other - Org Name:QUICK AID PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC/AO
Authorized Official - Prefix:
Authorized Official - First Name:AHAB
Authorized Official - Middle Name:
Authorized Official - Last Name:AYAD
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-247-2333
Mailing Address - Street 1:505 MILLTOWN RD
Mailing Address - Street 2:
Mailing Address - City:N BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3326
Mailing Address - Country:US
Mailing Address - Phone:732-247-2333
Mailing Address - Fax:732-247-2221
Practice Address - Street 1:505 MILLTOWN RD
Practice Address - Street 2:
Practice Address - City:N BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-3326
Practice Address - Country:US
Practice Address - Phone:732-247-2333
Practice Address - Fax:732-247-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2023-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WD0400X, 291U00000X, 332B00000X, 3336C0003X, 3336C0004X
NJ28RS00660000333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical Laboratory
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0100137Medicaid
2055931OtherPK
3193531OtherNCPDP PROVIDER IDENTIFICATION NUMBER