OrganizationSip Pharmacy(<Unavail>)PharmacySuppliersPractice Address527 Summit Ave, Jersey City, NJ 07306-2914(201) 222-5452PECOS EnrollmentBased on the most recent information from CMS, provider Sip Pharmacy 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 ID1790129948Provider TypeOrganizationFull NameSip PharmacyOther Name<Unavail>SubpartNoEnumeration Date4/18/2013Last Updated2/6/2025Contact InformationPractice LocationPractice Address527 Summit Ave, Jersey City, NJ 07306-2914Phone(201) 222-5452Fax(201) 222-3457Mailing LocationMailing Address527 Summit Ave, Jersey City, NJ 07306-2914Phone(201) 222-5452Fax(201) 222-3457Authorized OfficialNameAmin, Anush (President & Officer)Phone(973) 869-2820Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense28RS00725400New JerseyCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2145179DescriptionOtherIssuerPK