NPI Code Details Logo

NPI 1003112079

NPI 1003112079 : SPECIALTY RX INC : RIDGEFIELD PARK, NJ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003112079
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SPECIALTY RX INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/08/2011
-----------------------------------------------------
    Last Update Date     |    08/26/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2 BERGEN TPKE 
-----------------------------------------------------
    City                 |    RIDGEFIELD PARK
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07660-2390
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-241-6337
-----------------------------------------------------
    Fax                  |    908-634-4038
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    209 E 11TH AVE 
-----------------------------------------------------
    City                 |    ROSELLE
-----------------------------------------------------
    State                |    NJ
-----------------------------------------------------
    Zip                  |    07203-2015
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    908-241-6337
-----------------------------------------------------
    Fax                  |    908-241-4034
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VICE PRESIDENT
-----------------------------------------------------
    Name                 |     JOEL  ZUPNICK 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    908-241-6337
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3336L0003X
-----------------------------------------------------
    Taxonomy Name        |    Long Term Care Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.