NPIMap

Organization Active NPI

RXD Pharmacy of NJ Inc

Doing business as Ellis Drugs

  • Community/Retail Pharmacy
  • Camden, NJ
National Provider Identifier
1114060829
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RS03373 Issued in NJ
Legal business name
RXD PHARMACY OF NJ INC
Doing business as
Ellis Drugs
Practice address
617 Broadway Ave
Ellis Drugs
Camden, NJ 08103
Phone
(856) 964-1399
Fax
(856) 964-1239
NPI assigned
Feb 14, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RXD PHARMACY OF NJ INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Robert S Milner
Title
Chariman
Phone
(856) 577-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RS03373 NJ Primary

Addresses

Primary practice location

617 Broadway Ave
Ellis Drugs
Camden, NJ 08103

Mailing address

PO Box 428
RXD Pharmacy of NJ Inc
Collingswood, NJ 08108-0428
Phone (856) 858-9292

Other identifiers 3

IdentifierTypeStateIssuer
RS03373OtherNJSTATE LICENSE
3118583OtherNJNCPDP
4313500MedicaidNJ

Other names 1

  • Ellis Drugs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
R D Pharmacy-Westfiel6 organizations share this tax ID, including this one
Part of
R D Pharmacy-Westfiel

Other organizations with this tax ID 5

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

Locations

617 Broadway
Camden, NJ 08103
Phone (856) 964-1399

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1114060829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "address_2": "RXD PHARMACY OF NJ INC",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081080428",
            "telephone_number": "856-858-9292",
            "fax_number": "856-858-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 BROADWAY AVE",
            "address_2": "ELLIS DRUGS",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-964-1399",
            "fax_number": "856-964-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RXD PHARMACY OF NJ INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RXD PHARMACY OF NJ INC",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHARIMAN",
        "authorized_official_telephone_number": "856-577-4577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "RS03373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RS03373",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3118583",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4313500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.