Active NPI
C & S Pharmacy Ventures
Doing business as Quakerbridge Pharmacy
- Community/Retail Pharmacy
- Mercerville, NJ
National Provider Identifier
1053617977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00710300
- Legal business name
- C & S PHARMACY VENTURES
- Doing business as
- Quakerbridge Pharmacy
- Practice address
- 94 Flock Rd
Mercerville, NJ 08619-1471 - Phone
- (609) 587-1850
- Fax
- (609) 587-1852
- NPI assigned
- Feb 10, 2011
- Last updated
- Dec 10, 2014
- 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
- Glenn Sudnick
- Title
- Co-Owner
- Phone
- (609) 587-1850
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 28RS00710300 | NJ | Primary |
Addresses
Primary practice location
94 Flock Rd
Mercerville, NJ 08619-1471
Mailing address
94 Flock Rd
Mercerville, NJ 08619-1471
Phone (609) 587-1850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263117 | Medicaid | NJ | |
| 2128817 | Other | PK |
Other names 1
- Quakerbridge 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 |
|---|---|---|---|---|
| O20220503000334 | NJ | Part B Supplier - Pharmacy | 6305233818 | Practice locations: Mercerville, NJ |
National Provider Directory
National Provider DirectoryLocations
94 Flock Rd
Trenton, NJ 08619
Phone (609) 587-1850
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Mercerville, NJ
- NPI 1548932957
-
- Pharmacist
- Mercerville, NJ
- NPI 1225120025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418169600000",
"number": "1053617977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 FLOCK RD",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191471",
"telephone_number": "609-587-1850",
"fax_number": "609-587-1852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 FLOCK RD",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191471",
"telephone_number": "609-587-1850",
"fax_number": "609-587-1852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C & S PHARMACY VENTURES",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-10",
"last_updated": "2014-12-10",
"status": "A",
"authorized_official_last_name": "SUDNICK",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "609-587-1850"
},
"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": "28RS00710300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263117",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2128817",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quakerbridge Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mercerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.