Organization Active NPI

Eee Associates, LLC

  • Community/Retail Pharmacy
  • Mount Laurel, NJ
National Provider Identifier
1023218526
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EEE ASSOCIATES, LLC
Practice address
127 Ark Rd
Mount Laurel, NJ 08054-6302
Phone
(856) 359-2181
Fax
(856) 359-2190
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Karl W Eickhoff Sr.
Title
Manager
Phone
(732) 521-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

127 Ark Rd
Mount Laurel, NJ 08054-6302

Mailing address

1310 Fairview Boulevard
Delran, NJ 08075
Phone (856) 824-0394

Other names 1

  • ShopRite Pharmacy of Ark ROad Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930006204 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 3779789383 Practice locations: Mount Laurel, NJ
O20150113002071 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 3779789383 Practice locations: Mount Laurel, 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
Shoprite Pharmacy of Ark Rd 515127 Ark Rd, Mount Laurel, NJ 08054-6302(856) 359-2181 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf Does not accept assignmentParticipating since Jun 9, 2014

National Provider Directory

National Provider Directory

Locations

127 Ark Rd
#515
Mount Laurel, NJ 08054
Phone (856) 359-2181

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1023218526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 FAIRVIEW BOULEVARD",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "08075",
            "telephone_number": "856-824-0394",
            "fax_number": "856-824-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ARK RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546302",
            "telephone_number": "856-359-2181",
            "fax_number": "856-359-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EEE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "EICKHOFF",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-521-8439",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ShopRite Pharmacy of Ark ROad",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.