Active NPI
Pompton Lake Pharmacy LLC
- Community/Retail Pharmacy
- Pompton Lakes, NJ
National Provider Identifier
1093076218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00719100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sneha Banker
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135417 | Other | PK |
Other names 1
- Shoppers Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Clark, NJ
- NPI 1194328435
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.