Organization Active NPI

Bunting Pharmacy LLC

Doing business as Bunting Family Pharmacy

  • Community/Retail Pharmacy
  • Northfield, NJ
National Provider Identifier
1124282868
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00681200 Issued in NJ
Legal business name
BUNTING PHARMACY LLC
Doing business as
Bunting Family Pharmacy
Practice address
1337 New Rd
Unit a
Northfield, NJ 08225-1249
Phone
(609) 484-0026
Fax
(609) 484-0062
NPI assigned
Jul 11, 2008
Last updated
Nov 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Authorized official

Name
Josiah Bunting, PHRMDNPI 1700105707
Title
Owner
Phone
(609) 335-1192

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
Community/Retail Pharmacy 3336C0003X 28RS00681200 NJ Primary

Addresses

Primary practice location

1337 New Rd
Unit a
Northfield, NJ 08225-1249

Mailing address

1337 New Rd
Unit a
Northfield, NJ 08225-1249
Phone (609) 484-0026

Other identifiers 1

IdentifierTypeStateIssuer
2056312OtherPK

Other names 1

  • BUNTING FAMILY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120416000323 NJ Part B Supplier - Pharmacy 0648460691 Practice locations: Northfield, NJ

National Provider Directory

National Provider Directory

Locations

331 Tilton Rd
Ste 5
Northfield, NJ 08225
Phone (609) 484-0026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1124282868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 NEW RD",
            "address_2": "UNIT A",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251249",
            "telephone_number": "609-484-0026",
            "fax_number": "609-484-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 NEW RD",
            "address_2": "UNIT A",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251249",
            "telephone_number": "609-484-0026",
            "fax_number": "609-484-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNTING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "BUNTING",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-335-1192",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00681200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUNTING FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.