Dylhar LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00574600 Issued in NJ

Legal business name

DYLHAR LLC

Doing business as

Legacy health Drug

Practice address

341 W Main St
Freehold, NJ 07728-2517

Phone

(732) 845-2210

Fax

(732) 294-9480

NPI assigned

Jul 22, 2006

Last updated

Apr 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nilesh Amin

Title

Pharmacist Owner

Phone

(732) 845-2210

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Legacy health Drug Doing business as

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1033130091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282517",
            "telephone_number": "732-845-2210",
            "fax_number": "732-294-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282517",
            "telephone_number": "732-845-2210",
            "fax_number": "732-294-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYLHAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "732-845-2210"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00574600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451533",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy health Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert J Dugo, D.C.
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• Patricia Durso, CRNA
• Dynamic Physical Therapy of New Jersey P.a.
• Agnieszka Dziubak
• E&M Communications LLC
• Ear Nose & Throat of Freehold LLC
• East Freehold Medical Group L.L.C. (East Freehold Medical Associates)

• Community/Retail Pharmacy in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.