Passaic Pharmacy Inc
Passaic Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Passaic, NJ, holding Type 2 (organization) NPI 1679558597 since 2005. The authorized official on file is Antonio Rodriguez, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679558597 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Passaic Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 291 MONROE ST, Passaic, NJ, 07055 |
| Phone | 9737773121 |
| Fax | 9737773181 |
| Enumeration date | 2005-12-14 |
| Last updated in NPPES | 2010-02-01 |
Authorized official
| Name | Antonio Rodriguez |
|---|---|
| Title | President |
| Phone | 9737773121 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | 28RS00414400 | NJ |
| 3336C0004X | Compounding Pharmacy | Secondary | 28RS00414400 | NJ |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | 28RS00414400 | NJ |
| 3336C0003X | Community/Retail Pharmacy | Primary | 28RS00414400 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4396707 | Medicaid | NJ | — |
| 1657801 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Passaic Pharmacy Inc NPI: 1679558597 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 291 MONROE ST, Passaic, NJ, 07055
Verify this record
Cross-check NPI 1679558597 against the authoritative CMS record: view Passaic Pharmacy Inc 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
Who is the authorized official for Passaic Pharmacy Inc?
What is the NPI number for Passaic Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-01.