Provider Demographics
NPI:1013055615
Name:HPD GROUP CORP
Entity type:Organization
Organization Name:HPD GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:SABOHENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZILLUR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:201-991-2444
Mailing Address - Street 1:434 KEARNY AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-2604
Mailing Address - Country:US
Mailing Address - Phone:201-991-2444
Mailing Address - Fax:201-991-2447
Practice Address - Street 1:434 KEARNY AVE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-2604
Practice Address - Country:US
Practice Address - Phone:201-991-2444
Practice Address - Fax:201-991-2447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X, 335E00000X, 332BX2000X
NJ28RS00309800333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No335E00000XSuppliersProsthetic/Orthotic Supplier
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4252209Medicaid
NJ4252209Medicaid