Provider Demographics
NPI:1760589691
Name:BELLS HEALTHCARE ENTERPRISES INC
Entity Type:Organization
Organization Name:BELLS HEALTHCARE ENTERPRISES INC
Other - Org Name:BELL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIJOO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:732-985-1211
Mailing Address - Street 1:1907 ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-3212
Mailing Address - Country:US
Mailing Address - Phone:732-985-1211
Mailing Address - Fax:732-985-3609
Practice Address - Street 1:1907 ROUTE 27
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-3212
Practice Address - Country:US
Practice Address - Phone:732-985-1211
Practice Address - Fax:732-985-3609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS004953003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2052993OtherPK
NJ6262902Medicaid
NJ6262902Medicaid
NJ6262902Medicaid
1170190001Medicare NSC