Passaic Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Passaic Pharmacy Inc is a Community/Retail Pharmacy in Passaic, New Jersey. It is located at 291 Monroe St, Passaic and it's customer support contact number is 973-777-3121. The authorized person of Passaic Pharmacy Inc is Mr. Antonio Orestes Rodriguez who is President of the pharmacy and his contact number is 973-777-3121. Active license number of Passaic Pharmacy Inc is 28RS00414400 for Community/Retail Pharmacy in New Jersey. Passaic Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Passaic 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:
Passaic 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:
Passaic Pharmacy Inc
Type:
Community/Retail Pharmacy
Location:
291 Monroe St, Passaic, New Jersey, 07055-5209
Phone:
973-777-3121
Fax:
973-777-3181
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:
973-777-3121
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:
1679558597
NPI Enumeration Date:
14 Dec, 2005
NPI Last Update On:
01 Feb, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Passaic Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
28RS00414400
New Jersey
Primary
Pharmacy
28RS00414400
New Jersey
Secondary
Compounding Pharmacy
28RS00414400
New Jersey
Secondary
Durable Medical Equipment & Medical Supplies
28RS00414400
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
4396707
Medicaid
New Jersey
1657801
Medicaid
New Jersey
Medicare Enrollment:
Passaic 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
3779695739
O20100930091695
Passaic Pharmacy Inc
DME SUPPLIER - PHARMACY
Products Available:
Passaic Pharmacy Inc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Enteral Nutrients
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Power Operated Vehicles (scooters)
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:
291 Monroe St, Passaic, New Jersey
Zip:
07055-5209
Phone Number:
973-777-3121
Fax Number:
973-777-3181
Patients can reach Passaic Pharmacy Inc at 291 Monroe St, Passaic, New Jersey or can call on customer care at 973-777-3121.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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