Provider Demographics
NPI:1831680776
Name:NEXT GENERATION PHARMACY NJ LLC
Entity Type:Organization
Organization Name:NEXT GENERATION PHARMACY NJ LLC
Other - Org Name:PALISADE RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:REHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-292-1517
Mailing Address - Street 1:296 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-1814
Mailing Address - Country:US
Mailing Address - Phone:201-292-1517
Mailing Address - Fax:201-222-9181
Practice Address - Street 1:296 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-1814
Practice Address - Country:US
Practice Address - Phone:609-902-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-26
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy