Organization Active NPI

Lan Pharmacy, LLC

  • Long Term Care Pharmacy
  • Bayonne, NJ
National Provider Identifier
1164826962
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
28RS00733800 Issued in NJ
Legal business name
LAN PHARMACY, LLC
Practice address
792 Broadway
Bayonne, NJ 07002-3927
Phone
(201) 443-8808
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Ms. Deirdre Laphaun Chatmon
Title
Owner
Phone
(347) 785-4936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 28RS00733800 NJ Primary

Addresses

Primary practice location

792 Broadway
Bayonne, NJ 07002-3927

Mailing address

792 Broadway
Bayonne, NJ 07002-3927
Phone (201) 443-8808

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1164826962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023927",
            "telephone_number": "201-443-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023927",
            "telephone_number": "201-443-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAN PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "CHATMON",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "LAPHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-785-4936",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00733800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.