Shippees Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Wanaque, NJ
NPI 1013056068 · NPPES record last updated Aug 9, 2012
Key facts
- NPI
- 1013056068
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 28RS00563300 (NJ)
- Legal business name
- SHIPPEES PHARMACY INC
- Practice address
- 636 Ringwood Ave
Wanaque, NJ 07465-2016 - Phone
- (973) 835-6871
- Fax
- (973) 835-1308
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Peter Herina, RPH
- Title
- Owner
- Phone
- (973) 835-6871
National Provider Directory
Locations
636 Ringwood Ave
Wanaque, NJ 07465
Phone (973) 835-6871
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00563300 | NJ | Yes |
Addresses
Primary practice location
636 Ringwood Ave
Wanaque, NJ 07465-2016
Mailing address
636 Ringwood Ave
Wanaque, NJ 07465-2016
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3116515 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 3116515 | Other | OTHER ID NUMBER | |
| 7836708 | Medicaid | NJ |
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All providers in Wanaque, NJ · Community/Retail Pharmacy in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.