Bald Eagle Pharmacy LLC
Bald Eagle Pharmacy LLC is a healthcare organization registered as Long Term Care Pharmacy in Paramus, NJ, holding Type 2 (organization) NPI 1154336790 since 2006. The authorized official on file is Anthony Guercio, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154336790 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bald Eagle Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 610 VALLEY HEALTH PLZ, Paramus, NJ, 07652 |
| Phone | 2012250970 |
| Fax | 2012250973 |
| Enumeration date | 2006-07-30 |
| Last updated in NPPES | 2018-06-07 |
Authorized official
| Name | Anthony Guercio |
|---|---|
| Title | Manager |
| Phone | 9737282007 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336L0003X | Long Term Care Pharmacy | Primary | 28RI02690900 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093181 | Medicaid | NJ | — |
| 3193391 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Bald Eagle Pharmacy LLC NPI: 1154336790 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 610 VALLEY HEALTH PLZ, Paramus, NJ, 07652
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457302036 | Anne Vitiello | Individual | Addiction (Substance Use Disorder) Counselor | Paramus, NJ |
| 1366494072 | Joel Levine | Individual | Addiction (Substance Use Disorder) Counselor | Paramus, NJ |
| 1356394555 | Care Plus Nj, Inc. | Organization | Community/Behavioral Health Agency | Paramus, NJ |
| 1497708242 | John Bostrom | Individual | Sports Medicine (Neuromusculoskeletal Medicine) Physician | Paramus, NJ |
| 1861416083 | Kathleen Bianco | Individual | Adult Psychiatric/Mental Health Clinical Nurse Specialist | Paramus, NJ |
| 1881782605 | Perry Iasiello | Individual | Clinical Social Worker | Paramus, NJ |
| 1194815464 | Joseph Skunca | Individual | Clinical Social Worker | Paramus, NJ |
| 1407937303 | Barbara Yearing | Individual | Marriage & Family Therapist | Paramus, NJ |
Verify this record
Cross-check NPI 1154336790 against the authoritative CMS record: view Bald Eagle Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Bald Eagle Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-07.