Organization Active NPI

New Jersey Lan Pharmacy LLC

  • Community/Retail Pharmacy
  • Lindenwold, NJ
National Provider Identifier
1083092597
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NEW JERSEY LAN PHARMACY LLC
Practice address
2201 S White Horse Pike
Lindenwold, NJ 08021-2654
Phone
(267) 481-0690
Fax
(856) 662-8100
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Ms. Phuonglan Chau
Title
Manager
Phone
(267) 481-0690

Specialties & licenses 1

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

Addresses

Primary practice location

2201 S White Horse Pike
Lindenwold, NJ 08021-2654

Mailing address

2201 S White Horse Pike
Lindenwold, NJ 08021-2654
Phone (267) 481-0690

National Provider Directory

National Provider Directory

Locations

2201 S White Horse Pike
Lindenwold, NJ 08021
Phone (267) 481-0690

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1083092597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S WHITE HORSE PIKE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212654",
            "telephone_number": "267-481-0690",
            "fax_number": "856-662-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S WHITE HORSE PIKE",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080212654",
            "telephone_number": "267-481-0690",
            "fax_number": "856-662-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY LAN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "CHAU",
        "authorized_official_first_name": "PHUONGLAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-481-0690",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenwold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.