Provider Demographics
NPI:1922044387
Name:GERI SCRIPT L L C
Entity Type:Organization
Organization Name:GERI SCRIPT L L C
Other - Org Name:GERISCRIPT PHARMACY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-890-7735
Mailing Address - Street 1:220 W PARKWAY
Mailing Address - Street 2:UNIT 4 & 5
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1013
Mailing Address - Country:US
Mailing Address - Phone:973-890-7735
Mailing Address - Fax:973-835-8700
Practice Address - Street 1:220 W PARKWAY
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1013
Practice Address - Country:US
Practice Address - Phone:973-890-7735
Practice Address - Fax:973-835-8700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032112333600000X
3336I0012X
NJ28RS007045003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01934436Medicaid
2051805OtherPK
NJ7868103Medicaid
NJ7868103Medicaid