OrganizationGood Time Pharmacy LlcPharmacySuppliersPractice Address2801 Kennedy Blvd, Ste 10, Jersey City, NJ 07306(201) 222-6655PECOS EnrollmentBased on the most recent information from CMS, provider Good Time Pharmacy 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 ID1316256290Provider TypeOrganizationFull NameGood Time Pharmacy LlcSubpartNoEnumeration Date9/27/2010Last Updated6/14/2018Contact InformationPractice LocationPractice Address2801 Kennedy Blvd, Ste 10, Jersey City, NJ 07306Phone(201) 222-6655Fax(201) 222-6645Mailing LocationMailing Address2801 Kennedy Blvd, Ste 10, Jersey City, NJ 07306-5449Phone(201) 222-6655Fax(201) 222-6645Authorized OfficialNameShovkun, Nataliya (Supervisor)Phone(201) 222-6655Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00707100New JerseyProvider IdentifiersIDDescriptionIssuerID2151935DescriptionOtherIssuerPK