Organization Active NPI

Pompton Lake Pharmacy LLC

  • Community/Retail Pharmacy
  • Pompton Lakes, NJ
National Provider Identifier
1093076218
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00719100 Issued in NJ
Legal business name
POMPTON LAKE PHARMACY LLC
Doing business as
Shoppers Pharmacy
Practice address
750 Hamburg Tpke
Pompton Lakes, NJ 07442-1452
Phone
(973) 835-9900
Fax
(973) 835-9907
NPI assigned
Jun 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Sneha BankerNPI 1194328435
Title
Pharmacist in Charge
Phone
(201) 966-5022

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)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00719100 NJ Primary

Addresses

Primary practice location

750 Hamburg Tpke
Pompton Lakes, NJ 07442-1452

Mailing address

1 Januson CT
West Orange, NJ 07052-3657
Phone (201) 966-5022

Other identifiers 1

IdentifierTypeStateIssuer
2135417OtherPK

Other names 1

  • Shoppers Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1093076218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JANUSON CT",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523657",
            "telephone_number": "201-966-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HAMBURG TPKE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421452",
            "telephone_number": "973-835-9900",
            "fax_number": "973-835-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMPTON LAKE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "BANKER",
        "authorized_official_first_name": "SNEHA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "201-966-5022"
    },
    "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": "28RS00719100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135417",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoppers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompton Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.