Organization Active NPI

LHV Pharmacy

  • Compounding Pharmacy
  • Atlantic City, NJ
National Provider Identifier
1104015395
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
RS00674700 Issued in NJ
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

Updated by the provider on Oct 24, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3194761OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.