Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fourth Ave Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1225130354

Fourth Ave Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

329 Roseville Ave
Newark, NJ 07107-1757
Phone: (973) 483-3872
Fax: (973) 483-6956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 28RS00335200 (NJ)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1225130354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayush Gajera — Pharmacist · (973) 483-3872
Other names Fourth Avenue Pharmacy
NPI enumeratedSeptember 1, 2006
Last updated in NPPESApril 19, 2017
Mailing address329 Roseville Ave, Newark, NJ 07107-1757

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