NPIMap

Organization Active NPI

Fitwel Pharmacy LLC

  • Community/Retail Pharmacy
  • Lakewood, NJ
National Provider Identifier
1033296900
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00647200 Issued in NJ
Legal business name
FITWEL PHARMACY LLC
Doing business as
MEDICINE TO GO PHARMACIES
Practice address
1000 Route 70
Suite 7
Lakewood, NJ 08701-5961
Phone
(732) 367-5222
Fax
(732) 367-3393
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Sridevi Vajinepalli
Title
President
Phone
(732) 367-5222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00647200 NJ Primary

Addresses

Primary practice location

1000 Route 70
Suite 7
Lakewood, NJ 08701-5961

Mailing address

1000 Route 70
Suite 7
Lakewood, NJ 08701-5961
Phone (732) 367-5222

Other identifiers 2

IdentifierTypeStateIssuer
2167441OtherPK
0577251MedicaidNJ

Other names 1

  • MEDICINE TO GO PHARMACIES Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Route 70
Ste 7
Lakewood, NJ 08701
Phone (732) 367-5222

Practitioners & affiliated clinicians

Practitioners 2

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1033296900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 70",
            "address_2": "SUITE 7",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015961",
            "telephone_number": "732-367-5222",
            "fax_number": "732-367-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROUTE 70",
            "address_2": "SUITE 7",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015961",
            "telephone_number": "732-367-5222",
            "fax_number": "732-367-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITWEL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "VAJINEPALLI",
        "authorized_official_first_name": "SRIDEVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-367-5222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00647200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167441",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577251",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE TO GO PHARMACIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.