Active NPI
LHV Pharmacy
- Compounding Pharmacy
- Atlantic City, NJ
National Provider Identifier
1104015395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- RS00674700
- Legal business name
- LHV PHARMACY
- Practice address
- 2307 Atlantic Ave
Atlantic City, NJ 08401-6618 - Phone
- (609) 348-1600
- Fax
- (609) 348-1633
- NPI assigned
- Oct 24, 2007
- 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
- Olawale Oke
- Title
- Pic
- Phone
- (609) 348-1600
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | |||
| Compounding Pharmacy | 3336C0004X | RS00674700 | NJ | Primary |
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
2307 Atlantic Ave
Atlantic City, NJ 08401-6618
Mailing address
6 Randolph LN
Sicklerville, NJ 08081-4457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3194761 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
2307 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193184000000",
"number": "1104015395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 RANDOLPH LN",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080814457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 ATLANTIC AVE",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084016618",
"telephone_number": "609-348-1600",
"fax_number": "609-348-1633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LHV PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A",
"authorized_official_last_name": "OKE",
"authorized_official_first_name": "OLAWALE",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "609-348-1600"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NJ",
"license": "RS00674700",
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "3194761",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantic City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.