BALD EAGLE PHARMACY LLC (NPI# 1487719431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487719431 |
| Entity Type | Organization |
| Organization Name | BALD EAGLE PHARMACY LLC |
| Practice Address |
14 Franklin St Ste 201 Belleville NJ 07109-1134 |
| Mailing Address |
179 Cahill Cross Rd Fl 3 Ste 316 West Milford NJ 07480-1988 |
| Practice Telephone | 9737284600 |
| Practice Fax Number | 9737282103 |
| Mailing Telephone | 9737284600 |
| Mailing Fax Number | 9737282103 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | ANTHONY GUERCIO (ADMINSTRATION) |
| Authorized Official Telephone | 9737284600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
28RS00643300 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2055464 | 01 | |
| NJ | 0046400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154336790 | Bald Eagle Pharmacy LLC | Pharmacy | 610 Valley Health Plz, Paramus, NJ 07652 | 2006-07-30 |
| Street Address |
14 FRANKLIN ST STE 201 |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| 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 |
|---|---|---|---|---|
| 1588751739 | Home Pharmacy Services, LLC | Pharmacy | 1520 Mascoutah Ave, Belleville, IL 62220-3631 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652686 | Worthkap Inc | Pharmacy | 1581 County Road 517 Village Square Mall, Allamuchy Township, NJ 07820 | 2020-09-03 |
| 1386271989 | Clifton Drugs LLC | Pharmacy | 859 Clifton Ave, Clifton, NJ 07013-1715 | 2020-03-24 |
| 1386270742 | East Orange Pharmacy Evergreeen LLC | Pharmacy | 60 Evergreen Pl Ste 104, East Orange, NJ 07018-2114 | 2020-03-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
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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.