Provider Demographics
NPI:1477979649
Name:CROOKS AVENUE PHARMACY CORPORATION
Entity Type:Organization
Organization Name:CROOKS AVENUE PHARMACY CORPORATION
Other - Org Name:CUREMED PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GHADA
Authorized Official - Middle Name:ZUHAIR
Authorized Official - Last Name:ABUKUWAIK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-257-7765
Mailing Address - Street 1:311 CROOKS AVE
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-1105
Mailing Address - Country:US
Mailing Address - Phone:862-225-9432
Mailing Address - Fax:862-225-9433
Practice Address - Street 1:311 CROOKS AVE
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-1105
Practice Address - Country:US
Practice Address - Phone:862-225-9432
Practice Address - Fax:862-225-9433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WD0400X, 332B00000X, 332BC3200X, 332BP3500X, 332BX2000X, 333600000X, 335E00000X
NJ28RS007318003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333600000XSuppliersPharmacy
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7430350001Medicare NSC