Provider Demographics
NPI:1669533485
Name:HEALTH FIRST PHARMACEUTICAL INC
Entity type:Organization
Organization Name:HEALTH FIRST PHARMACEUTICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER,AO
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:NJEZE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:973-372-1300
Mailing Address - Street 1:PO BOX 560
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-0560
Mailing Address - Country:US
Mailing Address - Phone:973-372-1300
Mailing Address - Fax:973-372-0303
Practice Address - Street 1:4 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1920
Practice Address - Country:US
Practice Address - Phone:973-372-1300
Practice Address - Fax:973-372-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NJ28RS005123003336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0312819 DMEMedicaid
2053223OtherPK
NJ0255424Medicaid
NJ0312819 DMEMedicaid