Healthcare Provider Details

I. General information

NPI: 1194764134
Provider Name (Legal Business Name): BJS WHOLESALE CLUB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 THRU 420 LUIS MUNOZ MARIN BLVD
JERSEY CITY NJ
07302
US

IV. Provider business mailing address

396 THRU 420 LUIS MUNOZ MARIN BLVD
JERSEY CITY NJ
07302
US

V. Phone/Fax

Practice location:
  • Phone: 201-876-2799
  • Fax: 201-876-2796
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberRS00654400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRIS CELLA
Title or Position: ASSISTANT VICE PRESIDENT
Credential: RPH
Phone: 508-651-5621