Organization Active NPI

Ms Pharmacy LLC

Doing business as MO's Pharmacy

  • Community/Retail Pharmacy
  • Perth Amboy, NJ
National Provider Identifier
1033513684
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00736500 Issued in NJ
Legal business name
MS PHARMACY LLC
Doing business as
MO's Pharmacy
Practice address
201 New Brunswick Ave
Perth Amboy, NJ 08861-4111
Phone
(732) 934-5485
Fax
(732) 934-5490
NPI assigned
Oct 10, 2014
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Mohit SoodNPI 1386141307
Title
Member
Phone
(732) 934-5485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00736500 NJ Primary

Addresses

Primary practice location

201 New Brunswick Ave
Perth Amboy, NJ 08861-4111

Mailing address

201 New Brunswick Ave
Perth Amboy, NJ 08861-4111
Phone (732) 934-5485

Other identifiers 2

IdentifierTypeStateIssuer
0458821MedicaidNJ
2148333OtherPK

Other names 1

  • MO's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201124001277 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 8921325051 Practice locations: Perth Amboy, NJ

National Provider Directory

National Provider Directory

Locations

201 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 934-5485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1033513684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614111",
            "telephone_number": "732-934-5485",
            "fax_number": "732-934-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614111",
            "telephone_number": "732-934-5485",
            "fax_number": "732-934-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "SOOD",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-934-5485"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00736500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458821",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MO's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.