Organization Active NPI

Reunion RX, LLC

  • Long Term Care Pharmacy
  • Atlantic Highlands, NJ
National Provider Identifier
1114219797
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
28RS00712000 Issued in NJ
Legal business name
REUNION RX, LLC
Practice address
21 W Lincoln Ave
Atlantic Highlands, NJ 07716-1121
Phone
(732) 291-5900
Fax
(732) 291-5901
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Jennifer H. Factor, RPHNPI 1427209741
Title
Managing Member
Phone
(732) 291-5900

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 28RS00712000 NJ Primary

Addresses

Primary practice location

21 W Lincoln Ave
Atlantic Highlands, NJ 07716-1121

Mailing address

21 W Lincoln Ave
Atlantic Highlands, NJ 07716-1121
Phone (732) 219-5900

Other identifiers 2

IdentifierTypeStateIssuer
28RS00712000OtherNJBOARD OF PHARMACY
0266531MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110727000091 NJ DME Supplier - Pharmacy 7012185622 Practice locations: Atlantic Highlands, NJ
O20210407002723 NJ Part B Supplier - Pharmacy 7012185622 Practice locations: Atlantic Highlands, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Reunion RX LLC21 W Lincoln Ave, Atlantic Highlands, NJ 07716-1121(732) 291-5900 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 27, 2011

National Provider Directory

National Provider Directory

Locations

21 W Lincoln Ave
Atlantic Hlds, NJ 07716
Phone (732) 291-2590

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": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1114219797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W LINCOLN AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161121",
            "telephone_number": "732-219-5900",
            "fax_number": "732-291-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W LINCOLN AVE",
            "city": "ATLANTIC HIGHLANDS",
            "state": "NJ",
            "postal_code": "077161121",
            "telephone_number": "732-291-5900",
            "fax_number": "732-291-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REUNION RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "FACTOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-291-5900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00712000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "28RS00712000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266531",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic Highlands, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.