Organization Active NPI

JNJ Pharma LLC

  • Long Term Care Pharmacy
  • Hammonton, NJ
National Provider Identifier
1093412017
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JNJ PHARMA LLC
Practice address
254 Bellevue Ave
Hammonton, NJ 08037-1769
Phone
(609) 561-0825
NPI assigned
Feb 9, 2023
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Smitha Dasari
Title
President
Phone
(908) 577-6989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

254 Bellevue Ave
Hammonton, NJ 08037-1769

Mailing address

254 Bellevue Ave
Hammonton, NJ 08037-1769
Phone (609) 561-0825

Other identifiers 1

IdentifierTypeStateIssuer
0519677MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1093412017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BELLEVUE AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371769",
            "telephone_number": "609-561-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 BELLEVUE AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371769",
            "telephone_number": "609-561-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNJ PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "SMITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-577-6989"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0519677",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.