Ace-RX Specialty Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Old Bridge, NJ
NPI 1013364645 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1013364645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 28RS00749200 (NJ)
- Legal business name
- ACE-RX SPECIALTY PHARMACY INC
- Practice address
- 2628 Highway 516
Old Bridge, NJ 08857-2306 - Phone
- (732) 952-2244
- Fax
- (732) 952-3344
- NPI assigned
- May 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Achilles Alon, PHARMD
- Title
- Principal/Pharmacist in Charge
- Phone
- (732) 952-2244
Practitioners 3
-
Achilles Alon, PHARMD.
-
Kunal Patel, PHARMD.
-
Dawn Johannesen, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190320002158 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 9931480878 | Practice locations: Old Bridge, NJ |
National Provider Directory
Locations
2628 Route 516
Old Bridge, NJ 08857
Phone (732) 952-2244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00749200 | NJ | Yes |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2628 Highway 516
Old Bridge, NJ 08857-2306
Mailing address
2628 County Rd 516
Old Bridge, NJ 08857-2306
Phone (732) 952-2244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160366 | Other | PK |
Other names
- ACE-Rx Specialty Pharmacy
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All providers in Old Bridge, 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 Jan 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.