Jill Pharmacy Corp.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

28RS00487300 Issued in NJ

Legal business name

JILL PHARMACY CORP.

Doing business as

Rock Ridge Compounding Pharmacy

Practice address

191 Rock Rd
Glen Rock, NJ 07452-1706

Phone

(201) 444-4190

Fax

(201) 444-2698

NPI assigned

May 23, 2007

Organization subpart

Yes

Parent organization

JILL PHARMACY CORP. DBA ROCK RIDGE PHARMACYAs reported in NPPES

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

Authorized official

Name

Harsha Mori

Title

President

Phone

(201) 444-4190

Specialties & licenses 1

Addresses

Other names 1

• Rock Ridge Compounding Pharmacy Doing business as

Tax ID family

Jill Pharmacy Corp2 organizations share this tax ID, including this one

Part of

Jill Pharmacy Corp

Other organizations with this tax ID 1

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

• Jill Pharmacy Corp

  • Long Term Care Pharmacy
  • Glen Rock, NJ
  • NPI 1184309031
  NPD tax ID

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464566400000",
    "number": "1144430513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ROCK RD",
            "address_2": "PO BOX 605",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521706",
            "telephone_number": "201-444-4190",
            "fax_number": "201-444-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521706",
            "telephone_number": "201-444-4190",
            "fax_number": "201-444-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL PHARMACY CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JILL PHARMACY CORP. DBA ROCK RIDGE PHARMACY",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-05-30",
        "status": "A",
        "authorized_official_last_name": "MORI",
        "authorized_official_first_name": "HARSHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-4190"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RS00487300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Ridge Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Janet Melissa Kalina-Suarez, MA, CCC-SP.
• Nathaniel Kheysin, MD

• Compounding Pharmacy in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Compounding Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.