Organization Active NPI

Town & Country Compounding and Consultation Services LLC

  • Compounding Pharmacy
  • Ramsey, NJ
National Provider Identifier
1003022203
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
RS00624100 Issued in NJ
Legal business name
TOWN & COUNTRY COMPOUNDING AND CONSULTATION SERVICES LLC
Practice address
535 E Crescent Ave
Ramsey, NJ 07446-2922
Phone
(201) 447-2020
Fax
(201) 447-3253
NPI assigned
May 15, 2007
Organization subpart
Yes
Parent organization
TOWN & COUNTRY COMPOUNDING AND CONSULTATION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John J Herr, RPH, FIACP, RPIC
Title
President
Phone
(201) 447-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X RS00624100 NJ Primary

Addresses

Primary practice location

535 E Crescent Ave
Ramsey, NJ 07446-2922

Mailing address

535 E Crescent Ave
Ramsey, NJ 07446-2922
Phone (201) 447-2020

Other identifiers 2

IdentifierTypeStateIssuer
3145287OtherNJNCPDP
RS00624100OtherNJSTORE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110201000256 NJ DME Supplier - Pharmacy 4183830672 Practice locations: Ramsey, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Town & Country Compounding and Cons535 E Crescent Ave, Ramsey, NJ 07446-29222014472020215 Implanted Infusion Pumps and/or Supplies Accepts assignmentParticipating since Oct 21, 2014

National Provider Directory

National Provider Directory
Part of
Town Country Compounding and Consultation LLC Series TC Neuromax

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

106 Prospect St
Ste 1
Ridgewood, NJ 07450
Phone (201) 689-1933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1003022203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E CRESCENT AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462922",
            "telephone_number": "201-447-2020",
            "fax_number": "201-447-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E CRESCENT AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462922",
            "telephone_number": "201-447-2020",
            "fax_number": "201-447-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN & COUNTRY COMPOUNDING AND CONSULTATION SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN & COUNTRY COMPOUNDING AND CONSULTATION LLC",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-447-2020",
        "authorized_official_credential": "RPH, FIACP, RPIC"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "RS00624100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3145287",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE LICENSE",
            "identifier": "RS00624100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.