Provider Demographics
NPI:1720199896
Name:APTEKA, INC
Entity Type:Organization
Organization Name:APTEKA, INC
Other - Org Name:BURGESS CHEMIST #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBIZATI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:973-235-0909
Mailing Address - Street 1:559 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1746
Mailing Address - Country:US
Mailing Address - Phone:973-235-0909
Mailing Address - Fax:973-661-0030
Practice Address - Street 1:559 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1746
Practice Address - Country:US
Practice Address - Phone:973-235-0909
Practice Address - Fax:973-661-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4387201Medicaid
NJ0548940001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER