Central Ave Pharmacy LLC
NPI 1417624297 · Community/Retail Pharmacy · East Orange, NJ
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Ave Pharmacy LLC is a Community/Retail Pharmacy organization in East Orange, NJ (NPI 1417624297).
Provider details
- NPI number
- 1417624297
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Elmoatazbellah Tammaa, Pharmacist in Charge(631) 572-7973
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Registry dates
- Enumerated
- 2021-08-27
- Last updated
- 2022-05-06
- Certified
- 2022-05-06
Frequently asked questions
- What is Central Ave Pharmacy LLC's NPI number?
- Central Ave Pharmacy LLC's National Provider Identifier (NPI) is 1417624297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Ave Pharmacy LLC?
- Central Ave Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Central Ave Pharmacy LLC located?
- Central Ave Pharmacy LLC's practice location on file with NPPES is 355 Central Ave # 363, East Orange, NJ 07018.
- What is Central Ave Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Central Ave Pharmacy LLC is (973) 666-5363.
- Does Central Ave Pharmacy LLC accept Medicare?
- Central Ave 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 Central Ave Pharmacy LLC?
- The authorized official listed on Central Ave Pharmacy LLC's NPPES record is Elmoatazbellah Tammaa, Pharmacist in Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Ave Pharmacy LLC's NPI active?
- Yes — Central Ave Pharmacy LLC's NPI (1417624297) is active in the NPPES registry as of the last update on 2022-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.