Healthcare Provider Details

I. General information

NPI: 1427987932
Provider Name (Legal Business Name): JERSEY MEDS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 VROOM ST
JERSEY CITY NJ
07306-2006
US

IV. Provider business mailing address

15 VROOM ST
JERSEY CITY NJ
07306-2006
US

V. Phone/Fax

Practice location:
  • Phone: 201-416-4214
  • Fax:
Mailing address:
  • Phone: 201-416-4214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YAMEN SHEHADEH
Title or Position: RPH
Credential:
Phone: 201-754-2992