OrganizationPrescription Shoppe Llc(<Unavail>)PharmacySuppliersPractice Address550 Newark Ave Ste 101, Jersey City, NJ 07306-1362(201) 360-0600PECOS EnrollmentBased on the most recent information from CMS, provider Prescription Shoppe Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1295003184Provider TypeOrganizationFull NamePrescription Shoppe LlcOther Name<Unavail>SubpartNoEnumeration Date12/6/2011Last Updated7/3/2025Contact InformationPractice LocationPractice Address550 Newark Ave Ste 101, Jersey City, NJ 07306-1362Phone(201) 360-0600Fax(201) 360-0543Mailing LocationMailing Address550 Newark Ave, Ste 101, Jersey City, NJ 07306-1326Phone(201) 360-0600Fax(201) 360-0543Authorized OfficialNameManuel, Mariel (Pharmacist/ Owner)Phone(201) 360-0600Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00716800New JerseyCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2132957DescriptionOtherIssuerPKID0294314DescriptionMedicaidIssuerUnlistedNew Jersey