MEDICARE: NOAH MCNAMEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI04455700	NJ

General Provider Information

NPI Number	:	1285506006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOAH MCNAMEE

Provider Business Mailing Address
First Line	:	249 8TH ST APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-2021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 PARK AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-5913
Country	:	US
Telephone Number	:	201-558-0094
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2025
Last Update Date	:	09/22/2025

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