Phoenix Specialty Pharmacy Corp
NPI 1811762131 · Community/Retail Pharmacy · Weehawken, NJ
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Specialty Pharmacy Corp is a Community/Retail Pharmacy organization in Weehawken, NJ (NPI 1811762131).
Provider details
- NPI number
- 1811762131
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Natavan Nasirov, President(201) 453-3114
Specialties & taxonomies
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
- Phoenix Rx
- Doing business as
- Phoenix Rx
Registry dates
- Enumerated
- 2023-11-16
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Frequently asked questions
- What is Phoenix Specialty Pharmacy Corp's NPI number?
- Phoenix Specialty Pharmacy Corp's National Provider Identifier (NPI) is 1811762131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Specialty Pharmacy Corp?
- Phoenix Specialty Pharmacy Corp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Phoenix Specialty Pharmacy Corp located?
- Phoenix Specialty Pharmacy Corp's practice location on file with NPPES is 4100 Park Ave, Weehawken, NJ 07086-6196.
- What is Phoenix Specialty Pharmacy Corp's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Specialty Pharmacy Corp is (201) 453-3114.
- Does Phoenix Specialty Pharmacy Corp accept Medicare?
- Phoenix Specialty Pharmacy Corp 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 Phoenix Specialty Pharmacy Corp?
- The authorized official listed on Phoenix Specialty Pharmacy Corp's NPPES record is Natavan Nasirov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Specialty Pharmacy Corp's NPI active?
- Yes — Phoenix Specialty Pharmacy Corp's NPI (1811762131) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.