Glenwood Pharmacy LLC
Glenwood Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Bloomfield, NJ, holding Type 2 (organization) NPI 1689113821 since 2017. The authorized official on file is Ilomani Yadgarov, Supervisor Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689113821 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Glenwood Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 312 GLENWOOD AVE, Bloomfield, NJ, 07003 |
| Phone | 9737433300 |
| Fax | 9737433303 |
| Enumeration date | 2017-02-21 |
| Last updated in NPPES | 2025-06-11 |
Authorized official
| Name | Ilomani Yadgarov |
|---|---|
| Title | Supervisor Pharmacist |
| Phone | 9737433300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 28RS00754700 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006581085 | Medicaid | NJ | — |
| 2168184 | Other | — | PK |
Copy-ready billing details
Provider: Glenwood Pharmacy LLC NPI: 1689113821 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 312 GLENWOOD AVE, Bloomfield, NJ, 07003
Verify this record
Cross-check NPI 1689113821 against the authoritative CMS record: view Glenwood 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
How current is this record?
Where is Glenwood Pharmacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-11.