Jre Ave Maria Llc
Pharmacy
124 Route 10, Unit 4, Randolph
New Jersey, 07869-2415
973-442-4020 Jre Ave Maria Llc is an authorized DME supplier for medicare equipments and products.
Jre Ave Maria Llc is a Pharmacy in Randolph, New Jersey. This organization is also known as sub part of Jre Ave Maria Llc. It is located at 124 Route 10, Unit 4, Randolph and it's customer support contact number is 973-442-4020. The authorized person of Jre Ave Maria Llc is John Ghaly who is Managing Member of the pharmacy and his contact number is 973-442-4020. Jre Ave Maria Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jre Ave Maria Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Jre Ave Maria 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: | Jre Ave Maria Llc |
| Type: | Pharmacy |
| Location: | 124 Route 10, Unit 4, Randolph, New Jersey, 07869-2415 |
| Phone: | 973-442-4020 |
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: | John Ghaly |
| Position: | Managing Member |
| Contact Number: | 973-442-4020 |
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: | 1376089706 |
| Parent Organization: | Jre Ave Maria Llc |
| NPI Enumeration Date: | 09 Jan, 2017 |
| NPI Last Update On: | 24 Jan, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jre Ave Maria Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | New Jersey | Primary | |
Medicare Enrollment:
Jre Ave Maria 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 |
| 0648556308 | O20170411002513 | Jre Ave Maria Llc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 124 Route 10, Randolph, New Jersey |
| Zip: | 07869-2415 |
| Phone Number: | 973-442-4020 |
Patients can reach Jre Ave Maria Llc at
124 Route 10, Unit 4, Randolph, New Jersey or can
call on customer care at 973-442-4020.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.