Healthcare Provider Details

I. General information

NPI: 1235054172
Provider Name (Legal Business Name): CLEARMEDS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SUMMIT AVE
UNION CITY NJ
07087-1922
US

IV. Provider business mailing address

1500 SUMMIT AVE
UNION CITY NJ
07087-1922
US

V. Phone/Fax

Practice location:
  • Phone: 201-867-5153
  • Fax: 855-631-0207
Mailing address:
  • Phone: 201-867-5153
  • Fax: 855-631-0207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HEATHER MARIE FIELDS
Title or Position: MEMBER
Credential:
Phone: 201-867-5153