OrganizationHealth Smart Pharmacy & Convenience Store Llc(<Unavail>)PharmacySuppliersPractice Address2709 John F Kennedy Blvd, Jersey City, NJ 07306-5763(201) 360-3784PECOS EnrollmentBased on the most recent information from CMS, provider Health Smart Pharmacy & Convenience Store 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 ID1578050357Provider TypeOrganizationFull NameHealth Smart Pharmacy & Convenience Store LlcOther Name<Unavail>SubpartNoEnumeration Date4/18/2018Last Updated7/19/2018Contact InformationPractice LocationPractice Address2709 John F Kennedy Blvd, Jersey City, NJ 07306-5763Phone(201) 360-3784Fax(201) 360-3747Mailing LocationMailing Address2709 John F Kennedy Blvd, Jersey City, NJ 07306-5763Phone(201) 360-3784Fax(201) 360-3747Authorized OfficialNameCayaba-Wong, Vea (Owner)Phone(201) 993-3325Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00762600New JerseyCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2177414DescriptionOtherIssuerPK