Fourth Avenue Pharmacy is an authorized DME supplier for medicare equipments and products.
Fourth Avenue Pharmacy is a Community/Retail Pharmacy in Newark, New Jersey. This pharmacy is owned and operated by Fourth Ave Pharmacy Llc. It is located at 329 Roseville Ave, Newark and it's customer support contact number is 973-483-3872. The authorized person of Fourth Avenue Pharmacy is Ayush Gajera who is Pharmacist of the pharmacy and his contact number is 973-483-3872. Active license number of Fourth Avenue Pharmacy is 28RS00335200 for Community/Retail Pharmacy in New Jersey. Fourth Avenue Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Fourth Avenue Pharmacy 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 Avenue Pharmacy 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 Avenue Pharmacy
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 Avenue Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
28RS00335200
New Jersey
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Specialty 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 Avenue Pharmacy 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 Avenue Pharmacy 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 Avenue Pharmacy at 329 Roseville Ave, Newark, New Jersey or can call on customer care at 973-483-3872.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.