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21st Ave Pharmacy Inc.

Community/Retail Pharmacy in Paterson, NJ · enumerated 2005 · authorized official Antonio Rodriguez, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336124593

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name 21st Ave Pharmacy Inc.
Other name <Unavail>
Practice address 357 21st Ave, Paterson, NJ, 07501
Fax (973) 742-0353
Enumeration date Dec 9, 2005
Last updated in NPPES Feb 19, 2009

Taxonomy & classification

183500000X Pharmacist Pharmacy Service Providers · License 28RS00334800 (NJ) Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 28RS003348 (NJ) Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 28RS003348 (NJ) Primary

Authorized official

Name Antonio Rodriguez
Title President

Other identifiers

Identifier Type State Issuer
0107905 Medicaid NJ -
4344600 Medicaid NJ -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-02-19. Verify at npiregistry.cms.hhs.gov.
Where is 21st Ave Pharmacy Inc. located?
The practice location on file with NPPES is in Paterson, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-19.