Look up the most recent NPI and PECOS records

St Mary & St Moses Pharmacy

(<Unavail>)

Pharmacy

Suppliers

875 Bergen Ave, Jersey City, NJ 07306-4405

PECOS Enrollment

Based on the most recent information from CMS, provider St Mary & St Moses Pharmacy does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1285388595
Provider Type
Organization
Full Name
St Mary & St Moses Pharmacy
Other Name
<Unavail>

Subpart
No
Enumeration Date
2/6/2022
Last Updated
1/15/2023

Contact Information

Practice Location

875 Bergen Ave, Jersey City, NJ 07306-4405

(201) 792-9881

Unlisted Fax

Mailing Location

30 Brookside Rd, Edison, NJ 08817-4674

(201) 455-4785

Unlisted Fax

Authorized Official

Azer, Nady (Pharmacist/Owner)

(201) 792-9881

Provider Taxonomies

Code	Description	License
Code 3336C0003X Primary	Description Pharmacy Suppliers	License Unlisted Issuer

St Mary & St Moses Pharmacy

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

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Description

License

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