BALD EAGLE PHARMACY LLC (NPI# 1154336790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154336790 |
Entity Type | Organization |
Organization Name | BALD EAGLE PHARMACY LLC |
Other Organization Name | BALD EAGLE PHARMACY |
Practice Address |
610 Valley Health Plz Paramus NJ 07652 |
Mailing Address |
14 Franklin St Fl 2 Belleville NJ 07109-1134 |
Practice Telephone | 2012250970 |
Practice Fax Number | 2012250973 |
Mailing Telephone | 9737282007 |
Mailing Fax Number | 9737281009 |
Enumeration Date | 2006-07-30 |
Last Update Date | 2018-06-07 |
Authorized Official Name | ANTHONY GUERCIO (MANAGER) |
Authorized Official Telephone | 9737282007 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
28RI02690900 | NJ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0093181 | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3193391 | 01 |
Other Name | Type Code |
---|---|
BALD EAGLE PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487719431 | Bald Eagle Pharmacy LLC | Pharmacy | 14 Franklin St Ste 201, Belleville, NJ 07109-1134 | 2006-12-27 |
Street Address |
610 VALLEY HEALTH PLZ |
City | PARAMUS |
State | NJ |
Zip Code | 07652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457302036 | Anne Vitiello | Counselor | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2006-05-16 |
1700485711 | Dyana Thompson | Nurse Practitioner | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-10-21 |
1205435690 | Amanda R Salmeri | Social Worker | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-10-18 |
1144833385 | Gillian Small | Counselor | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-08-27 |
1619587359 | Karen Sarah Friedman | Social Worker | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-08-07 |
1689284325 | Alexandra Oddo | Social Worker | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-08-07 |
1497364202 | Barbara Siqueira | Social Worker | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-07-28 |
1689291460 | Sara Boyadjis | Counselor | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-06-29 |
1831716653 | Rolando Lozano | Counselor | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-06-26 |
1407481179 | Valerie Vieceli | Social Worker | 610 Valley Health Plz, Paramus, NJ 07652-3607 | 2020-03-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
Find all providers in zip 07652 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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 |
---|---|---|---|---|
1508244237 | Partners Pharmacy LLC | Pharmacy | 1 Veterans Way, Paramus, NJ 07652-4100 | 2015-05-14 |
1538303979 | Bergen County Improvement Authority | Pharmacy | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2009-04-29 |
1134202534 | Omnicare of New York, LLC | Pharmacy | 1 Veterans Way, Paramus, NJ 07652-4100 | 2006-10-23 |
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1881238673 | Hmh Residential Care, Inc | Pharmacy | 34 Industrial Way E, Eatontown, NJ 07724-3319 | 2019-11-05 |
1518517085 | Integrated Medication Management | Pharmacy | 136 Gaither Dr Ste 120, Mount Laurel, NJ 08054-1725 | 2019-09-17 |
1063067767 | Dsp Pharmacy LLC | Pharmacy | 1071 Rte 37 W Unit 10, Toms River, NJ 08755-5026 | 2019-08-08 |
1922653138 | Jems Pharma LLC | Pharmacy | 301 High St, Burlington, NJ 08016-4411 | 2019-08-05 |
1073165403 | Quick Mart Pharmacy & Convenience LLC | Pharmacy | 100 Ryders Ln Ste 5, Milltown, NJ 08850-1263 | 2019-07-16 |
1083271498 | Rapps Ltc Pharmacy, LLC | Pharmacy | 1510 Park Ave Ste 104, South Plainfield, NJ 07080-5521 | 2019-05-21 |
1669038162 | Tarrytown Expocare Nj, LLC | Pharmacy | 281 Us Highway 46 Ste 100, Elmwood Park, NJ 07407-2419 | 2019-05-10 |
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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.