BLOOMING PHARMACY LLC (NPI# 1093207292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093207292 |
| Entity Type | Organization |
| Organization Name | BLOOMING PHARMACY LLC |
| Practice Address |
102 Broadway Paterson NJ 07505-1107 |
| Practice Telephone | 9737420054 |
| Practice Fax Number | 9737420074 |
| Mailing Telephone | 9737420054 |
| Mailing Fax Number | 9737420074 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | HANY MIKHAIL (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 9737420054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00764600 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2177997 | 01 |
| Other Name | Type Code |
|---|---|
| Blooming Pharmacy | Other Name - Individual/Organization |
| Street Address |
102 BROADWAY |
| City | PATERSON |
| State | NJ |
| Zip Code | 07505-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295228377 | Jayasree Dokku | Pharmacist | 102 Broadway, Paterson, NJ 07505 | 2018-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283202 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 691 14th St, Paterson, NJ 07505 | 2017-09-01 |
| 1700031283 | Robert Rekker | Psychologist | 100 Hamilton Plz Ste 101, Paterson, NJ 07505 | 2008-11-25 |
| 1568664951 | James John Hussey | Social Worker | 56 Hamilton S, Paterson, NJ 07505 | 2007-06-05 |
| 1659414910 | Stephen Sherman | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-02-15 |
| 1629089909 | Smile Central Dental PC | Dentist | 140 Market Street, 3rd Floor, Paterson, NJ 07505 | 2006-08-11 |
| 1619969581 | Damon House, Inc. | Substance Abuse Rehabilitation Facility | 175 Market St., Paterson, NJ 07505 | 2005-08-17 |
| 1619473089 | Meena Al-talib | Dentist | 140 Market St, Paterson, NJ 07505 | 2018-04-03 |
| 1083830384 | Mahir Saleh | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-04-17 |
| 1801929591 | West Broadway Dental Pa | Dentist | 1 West Broadway, Paterson, NJ 07505 | 2007-03-13 |
| 1588797252 | Steve Sasson | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterion, NJ 07505 | 2007-03-13 |
| Find all providers in zip 07505 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831599 | St Josephs Health Pharmacy, LLC | Pharmacy | 703 Main St Ste 120, Paterson, NJ 07503-2621 | 2020-02-03 |
| 1679079131 | Organix Pharmacy 11 LLC | Pharmacy | 1010 Main St # A2, Paterson, NJ 07503-2212 | 2018-04-03 |
| 1073889861 | Pankti | Pharmacy | 121 W Broadway # Storeb, Paterson, NJ 07522-2018 | 2012-03-27 |
| 1700116019 | Drug Aid Pharmacy LLC | Pharmacy | 259 Rosa Parks Blvd, Paterson, NJ 07501-1611 | 2010-01-08 |
| 1508003377 | Librimax Inc | Pharmacy | 7 W Broadway, Paterson, NJ 07505-1014 | 2009-01-14 |
| 1134370455 | Gallery Pharmacies Inc | Pharmacy | 141 West Broadway, Paterson, NJ 07522 | 2008-10-06 |
| 1053455196 | Cherry Pharmacy,inc | Pharmacy | 177 Market St, Paterson, NJ 07505-1701 | 2007-02-19 |
| 1417095613 | Max Drugs, Inc. | Pharmacy | 506 Park Ave, Paterson, NJ 07504-1532 | 2007-02-01 |
| 1053412585 | La Nueva Mercedes Inc. | Pharmacy | 500 River St, Paterson, NJ 07524-1903 | 2006-09-26 |
| 1750488680 | Carmens Pharmacy & Medical Supplies Inc | Pharmacy | 418 River St, Paterson, NJ 07524-1902 | 2006-09-20 |
| Find all providers in PATERSON | ||||
Please comment or provide details below to improve the information on BLOOMING PHARMACY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.