Provider Demographics
NPI:1821230608
Name:CARPE DIEM INC
Entity Type:Organization
Organization Name:CARPE DIEM INC
Other - Org Name:MIDLAND DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DE CLEMENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-864-0200
Mailing Address - Street 1:600 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-1665
Mailing Address - Country:US
Mailing Address - Phone:973-772-7966
Mailing Address - Fax:973-772-5200
Practice Address - Street 1:600 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-1665
Practice Address - Country:US
Practice Address - Phone:973-772-7966
Practice Address - Fax:973-772-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS006880003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2120546OtherPK
NJ0217590Medicaid
2120546OtherPK