NPIMap

Organization Active NPI

Ranch Health Edison LLC

  • Long Term Care Pharmacy
  • Edison, NJ
National Provider Identifier
1093575458
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
RANCH HEALTH EDISON LLC
Practice address
561 US Highway 1 Unit 101
Edison, NJ 08817-4400
Phone
(908) 858-3672
NPI assigned
Mar 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Cecilia Wong, PHARMDNPI 1104421700
Title
Pharmacist in Charge
Phone
(908) 858-3672

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 1

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

Addresses

Primary practice location

561 US Highway 1 Unit 101
Edison, NJ 08817-4400

Mailing address

561 US Highway 1 Unit 101
Edison, NJ 08817-4400
Phone (908) 858-3672

Other names 1

  • 123 Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
123 Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

561 US Highway 1
Unit 101
Edison, NJ 08817
Phone (908) 858-3672

Practitioners & affiliated clinicians

Practitioners 4

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": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1093575458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 US HIGHWAY 1 UNIT 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174400",
            "telephone_number": "908-858-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 US HIGHWAY 1 UNIT 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088174400",
            "telephone_number": "908-858-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH HEALTH EDISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "908-858-3672",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "123 Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.