Westgate Pharmacy RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00670900 Issued in NJ

Legal business name

WESTGATE PHARMACY RX LLC

Doing business as

westgate pharmacy

Practice address

112 Hillside Blvd
Lakewood, NJ 08701-3148

Phone

(732) 370-2500

Fax

(732) 230-6939

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

David Segal

Title

Mang

Phone

(732) 370-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• westgate pharmacy Doing business as

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1164575403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HILLSIDE BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013148",
            "telephone_number": "732-370-2500",
            "fax_number": "732-256-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HILLSIDE BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013148",
            "telephone_number": "732-370-2500",
            "fax_number": "732-230-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE PHARMACY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANG",
        "authorized_official_telephone_number": "732-370-2500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00670900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158216",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "westgate pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lakewood, NJ
• Providers in Lakewood, 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 18, 2017; 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.