Silverton Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00020800 Issued in NJ

Legal business name

SILVERTON PHARMACY LLC

Practice address

1824 Hooper Ave. Silverton Pharmacy
Toms River, NJ 08753

Phone

(732) 255-3121

Fax

(732) 255-3249

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Jay Patel, PHARM D.NPI 1760948913

Title

Pharmacy Owner

Phone

(732) 255-3121

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• SILVERTON PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Jay Patel, PHARM D.

  • Pharmacist
  • Toms River, NJ
  • NPI 1760948913
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1154432169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 HOOPER AVE. SILVERTON PHARMACY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-255-4788",
            "fax_number": "732-255-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 HOOPER AVE. SILVERTON PHARMACY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-255-3121",
            "fax_number": "732-255-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "732-255-3121",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00020800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0577260",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3101425",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4288602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVERTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SILVERTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Silverton Pediatrics LLC
• Paul J Simon, D.O.
• Robert Thomas Simon, MD
• Samantha L Simon, RN
• Dana Simonelli
• Jade Simons

• Community/Retail Pharmacy in Toms River, NJ
• Providers in Toms River, 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 Jan 15, 2019; 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.