Organization Active NPI

KGJ Associates LLC

  • Community/Retail Pharmacy
  • Cinnaminson, NJ
National Provider Identifier
1154576775
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KGJ ASSOCIATES LLC
Practice address
141 Route 130 South
Suite K
Cinnaminson, NJ 08077
Phone
(856) 303-7676
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Melissa Figueroa Rivera
Title
Third Party Administrator
Phone
(732) 521-8439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

141 Route 130 South
Suite K
Cinnaminson, NJ 08077

Mailing address

141 Rte. 130 South
Suite K
Cinnaminson, NJ 08077

Other identifiers 1

IdentifierTypeStateIssuer
3195496OtherNCPDP

Other names 1

  • Shoprite Pharmacy of Cinnaminson Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930082818 NJ DME Supplier - PharmacyDME Supplier - Grocery Store 2466642087 Practice locations: Cinnaminson, NJ
O20150216001131 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 2466642087 Practice locations: Cinnaminson, 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
KGJ Associates LLC141 Route 130, Cinnaminson, NJ 08077-3373(856) 303-2655 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Dec 16, 2009

National Provider Directory

National Provider Directory

Locations

141 Route 130 S
Cinnaminson, NJ 08077

141 Route 130 S
Ste K
Cinnaminson, NJ 08077
Phone (856) 303-2655

Practitioners & affiliated clinicians

Practitioners 1

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": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1154576775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 RTE. 130 SOUTH",
            "address_2": "SUITE K",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 ROUTE 130 SOUTH",
            "address_2": "SUITE K",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-303-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KGJ ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA RIVERA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "THIRD PARTY ADMINISTRATOR",
        "authorized_official_telephone_number": "732-521-8439"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3195496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoprite Pharmacy of Cinnaminson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.