Provider Demographics
NPI:1790917037
Name:TRIMAX MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:TRIMAX MEDICAL SERVICES INC
Other - Org Name:TRIMAX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RAMEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXEMOUS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM-D
Authorized Official - Phone:201-832-9798
Mailing Address - Street 1:1299 MCCARTER HWY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-3757
Mailing Address - Country:US
Mailing Address - Phone:973-485-8522
Mailing Address - Fax:
Practice Address - Street 1:1299 MCCARTER HWY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3757
Practice Address - Country:US
Practice Address - Phone:973-485-8522
Practice Address - Fax:973-485-8570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS006945003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2121458OtherPK