Fourth Ave Pharmacy Llc
Community/Retail Pharmacy
329 Roseville Ave, Newark
New Jersey, 07107-1757
973-483-3872 973-483-6956
Fourth Ave Pharmacy Llc is a Community/Retail Pharmacy in Newark, New Jersey. It is located at 329 Roseville Ave, Newark and it's customer support contact number is 973-483-3872. The authorized person of Fourth Ave Pharmacy Llc is Ayush Gajera who is Pharmacist of the pharmacy and his contact number is 973-483-3872. Active license number of Fourth Ave Pharmacy Llc is 28RS00335200 for Community/Retail Pharmacy in New Jersey. Fourth Ave Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Fourth Ave Pharmacy Llc 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:
Fourth Ave Pharmacy Llc 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: | Fourth Ave Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 329 Roseville Ave, Newark,
New Jersey, 07107-1757 |
| Phone: | 973-483-3872 |
| Fax: | 973-483-6956 |
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: | Ayush Gajera |
| Position: | Pharmacist |
| Contact Number: | 973-483-3872 |
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: | 1225130354 |
| NPI Enumeration Date: | 01 Sep, 2006 |
| NPI Last Update On: | 19 Apr, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fourth Ave Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 28RS00335200 | New Jersey | Primary | |
| Specialty Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | 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 |
| 2132840 | Other | | Pk |
Medicare Enrollment:
Fourth Ave Pharmacy Llc 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 |
| 8527228931 | O20120322000073 | Fourth Ave Pharmacy Llc | DME SUPPLIER - PHARMACY |
| 8527228931 | O20120726000060 | Fourth Ave Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Fourth Ave Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | • 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: | 329 Roseville Ave,
Newark, New Jersey |
| Zip: | 07107-1757 |
| Phone Number: | 973-483-3872 |
| Fax Number: | 973-483-6956 |
Patients can reach Fourth Ave Pharmacy Llc at
329 Roseville Ave, Newark, New Jersey or can
call on customer care at 973-483-3872.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.