21st Ave Pharmacy Inc.
Community/Retail Pharmacy
357 21st Ave, Paterson
New Jersey, 07501-3642
973-742-1235 973-742-0353
21st Ave Pharmacy Inc. is a Community/Retail Pharmacy in Paterson, New Jersey. It is located at 357 21st Ave, Paterson and it's customer support contact number is 973-742-1235. The authorized person of 21st Ave Pharmacy Inc. is Mr. Antonio Orestes Rodriguez who is President of the pharmacy and his contact number is 973-742-1235. Active license number of 21st Ave Pharmacy Inc. is 28RS003348 for Community/Retail Pharmacy in New Jersey. 21st Ave Pharmacy Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
21st Ave Pharmacy Inc. is 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.
Pharmacy Details:
21st Ave Pharmacy Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | 21st Ave Pharmacy Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 357 21st Ave, Paterson,
New Jersey, 07501-3642 |
| Phone: | 973-742-1235 |
| Fax: | 973-742-0353 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Antonio Orestes Rodriguez |
| Position: | President |
| Contact Number: | 973-742-1235 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1336124593 |
| NPI Enumeration Date: | 09 Dec, 2005 |
| NPI Last Update On: | 19 Feb, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 21st Ave Pharmacy Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 28RS003348 | New Jersey | Primary | |
| Durable Medical Equipment & Medical Supplies | 28RS003348 | New Jersey | Secondary | |
| Pharmacist | 28RS00334800 | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0107905 | Medicaid | New Jersey | |
| 4344600 | Medicaid | New Jersey | |
Medicare Enrollment:
21st Ave Pharmacy Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5496867541 | O20100930066280 | 21st Ave Pharmacy Inc.. | DME SUPPLIER - PHARMACY |
Products Available:
21st Ave Pharmacy Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Surgical Dressings |
| • Walkers | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 357 21st Ave,
Paterson, New Jersey |
| Zip: | 07501-3642 |
| Phone Number: | 973-742-1235 |
| Fax Number: | 973-742-0353 |
Patients can reach 21st Ave Pharmacy Inc. at
357 21st Ave, Paterson, New Jersey or can
call on customer care at 973-742-1235.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.