Organization Active NPI

Forrestal Pharmacy Center

  • Community/Retail Pharmacy
  • Princeton, NJ
National Provider Identifier
1083018170
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FORRESTAL PHARMACY CENTER
Practice address
10 Forrestal Road South
Suite 10
Princeton, NJ 08540
Phone
(609) 285-5921
Fax
(609) 285-5922
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Mr. Mahmood Hasham, PHARMACIST
Title
Owner/Manager
Phone
(609) 285-5921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NJ Primary

Addresses

Primary practice location

10 Forrestal Road South
Suite 10
Princeton, NJ 08540

Mailing address

10 Forrestal Road South
Suite 10
Princeton, NJ 08540
Phone (609) 285-5921

Other names 1

  • Medical Village Pharmacy of Princeton Doing business as

National Provider Directory

National Provider Directory

Locations

10 Forrestal Rd S
Ste 10
Princeton, NJ 08540
Phone (609) 285-5921

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1083018170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL ROAD SOUTH",
            "address_2": "SUITE 10",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-285-5921",
            "fax_number": "609-285-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORRESTAL ROAD SOUTH",
            "address_2": "SUITE 10",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-285-5921",
            "fax_number": "609-285-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORRESTAL PHARMACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "HASHAM",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "609-285-5921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Village Pharmacy of Princeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.