St Paul Pharmacy LLC
NPI 1083454359 · Community/Retail Pharmacy · Montclair, NJ
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Paul Pharmacy LLC is a Community/Retail Pharmacy organization in Montclair, NJ (NPI 1083454359).
Provider details
- NPI number
- 1083454359
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wael Isaac, Owner(718) 210-6113
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grove Pharmacy
Registry dates
- Enumerated
- 2024-05-25
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Frequently asked questions
- What is St Paul Pharmacy LLC's NPI number?
- St Paul Pharmacy LLC's National Provider Identifier (NPI) is 1083454359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Paul Pharmacy LLC?
- St Paul Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is St Paul Pharmacy LLC located?
- St Paul Pharmacy LLC's practice location on file with NPPES is 123 Grove St, Montclair, NJ 07042-4021.
- What is St Paul Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for St Paul Pharmacy LLC is (718) 210-6113.
- Does St Paul Pharmacy LLC accept Medicare?
- St Paul Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Paul Pharmacy LLC?
- The authorized official listed on St Paul Pharmacy LLC's NPPES record is Wael Isaac, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Paul Pharmacy LLC's NPI active?
- Yes — St Paul Pharmacy LLC's NPI (1083454359) is active in the NPPES registry as of the last update on 2025-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.