Active NPI
Pharmcorp, LLC
- Community/Retail Pharmacy
- Bedminster, NJ
National Provider Identifier
1043317977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00446200
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2055716 | Other | PK |
Other names 1
- FAR HILLS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Bedminster, NJ
- NPI 1477398378
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Edison, NJ
- NPI 1407147119
-
- Nutritionist
- Bedminster, NJ
- NPI 1871792465
-
- Pharmacist
- Bedminster, NJ
- NPI 1578961371
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.