Provider Demographics
NPI:1528416286
Name:SAINT JAMES HEALTH, INC
Entity Type:Organization
Organization Name:SAINT JAMES HEALTH, INC
Other - Org Name:SAINT JAMES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-789-8111
Mailing Address - Street 1:228 LAFAYETTE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1815
Mailing Address - Country:US
Mailing Address - Phone:973-679-6851
Mailing Address - Fax:973-671-3112
Practice Address - Street 1:228 LAFAYETTE ST FL 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1815
Practice Address - Country:US
Practice Address - Phone:973-679-6851
Practice Address - Fax:973-671-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS007493003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2160465OtherPK