Provider Demographics
NPI:1205948205
Name:BFP APOTHECARY INC
Entity type:Organization
Organization Name:BFP APOTHECARY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALADINO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-261-4641
Mailing Address - Street 1:436 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4704
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:436 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4704
Practice Address - Country:US
Practice Address - Phone:201-261-4641
Practice Address - Fax:201-261-3729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ05377333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7122004Medicaid
NJ7122012Medicaid
3113470OtherOTHER ID NUMBER-COMMERCIAL NUMBER
NJBT5090852OtherDEA #
NJ1161430001Medicare NSC