Healthcare Provider Details

I. General information

NPI: 1346161585
Provider Name (Legal Business Name): JOVANY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 MONROE ST
PASSAIC NJ
07055-4129
US

IV. Provider business mailing address

374 MONROE ST
PASSAIC NJ
07055-4129
US

V. Phone/Fax

Practice location:
  • Phone: 973-240-2220
  • Fax:
Mailing address:
  • Phone: 973-240-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name: WASIM IBRAHIM
Title or Position: OWNER
Credential: WI
Phone: 973-240-2220