Organization Active NPI

Pharmcorp, LLC

  • Community/Retail Pharmacy
  • Bedminster, NJ
National Provider Identifier
1043317977
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00446200 Issued in NJ
Legal business name
PHARMCORP, LLC
Doing business as
FAR HILLS PHARMACY
Practice address
405 Main St
Bedminster, NJ 07921-2605
Phone
(908) 234-1101
Fax
(908) 470-0781
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Hardik Shah
Title
Vice President
Phone
(908) 234-1101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00446200 NJ Primary

Addresses

Primary practice location

405 Main St
Bedminster, NJ 07921-2605

Mailing address

405 Main St
Bedminster, NJ 07921-2605
Phone (908) 234-1101

Other identifiers 1

IdentifierTypeStateIssuer
2055716OtherPK

Other names 1

  • FAR HILLS PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210216000868 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9032524558 Practice locations: Bedminster, NJ

National Provider Directory

National Provider Directory
Tax ID family
Far Hills Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1043317977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212605",
            "telephone_number": "908-234-1101",
            "fax_number": "908-470-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212605",
            "telephone_number": "908-234-1101",
            "fax_number": "908-470-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCORP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "HARDIK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "908-234-1101"
    },
    "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": "28RS00446200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAR HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAR HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedminster, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.