Pennington Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00092000 Issued in NJ

Legal business name

PENNINGTON PHARMACY LLC

Practice address

2108 Pennington Rd
Ewing, NJ 08638-1416

Phone

(609) 882-2404

Fax

(609) 882-4220

NPI assigned

Jul 17, 2017

Organization subpart

No

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

Authorized official

Name

Mayur Patel

Title

Member

Phone

(845) 292-8200

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• The Robbins Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jatin Patel

  • Pharmacist
  • North Brunswick, NJ
  • NPI 1760895817
  NPD

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1124540612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381416",
            "telephone_number": "609-882-2404",
            "fax_number": "609-882-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381416",
            "telephone_number": "609-882-2404",
            "fax_number": "609-882-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYUR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-292-8200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00092000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8864691",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0609081",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Robbins Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paths to Healing LLC
• Stephen Patillo, MSW, LCSW
• Pear Suite Provider Group NJ, P.C.
• Pen Physical Therapy & Rehab Services, P.C.
• Pennington Medical Group, PC
• Jillian Perez, BA, CPRS
• Ann T Perry, APN
• Chalia Joyce Perry, CPRS
• Rachel Elizabeth Perry
• Sharon Dawn Peterson

• Community/Retail Pharmacy in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.