Terrys Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00351000 Issued in NJ

Legal business name

TERRYS FAMILY PHARMACY INC

Doing business as

Terrys Family Pharmacy Inc

Practice address

560 Bloomfield Ave
Verona, NJ 07044-1817

Phone

(973) 239-2200

Fax

(973) 239-1857

NPI assigned

Oct 3, 2006

Last updated

Feb 28, 2017By 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

Les Gwyn-Williams

Title

President

Phone

(973) 239-2200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TERRYS FAMILY PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1053405464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441817",
            "telephone_number": "973-239-2200",
            "fax_number": "973-239-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 BLOOMFIELD AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441817",
            "telephone_number": "973-239-2200",
            "fax_number": "973-239-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRYS FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "GWYN-WILLIAMS",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-239-2200"
    },
    "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": "28RS00351000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4354109",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TERRYS FAMILY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Verona, NJ
• Providers in Verona, 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 Feb 28, 2017; 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.