Ryla Community Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00736300 Issued in NJ

Legal business name

RYLA COMMUNITY PHARMACY

Doing business as

Ryla Community Pharmacy

Practice address

4301 Maple Ave Unit a
Pennsauken, NJ 08109-1818

Phone

(856) 320-2609

Fax

(856) 320-2716

NPI assigned

Nov 7, 2014

Organization subpart

No

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

Authorized official

Name

Bushra BofahredinNPI 1922402221

Title

Pharmacist in Charge

Phone

(856) 313-7681

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ryla Community Pharmacy Doing business as

Locations

Practitioners 1

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

• Bushra Bofahredin

  • Pharmacy
  • Pennsauken, NJ
  • NPI 1922402221
  NPD (past) Authorized official

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1164828802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MAPLE AVE UNIT A",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091818",
            "telephone_number": "856-320-2609",
            "fax_number": "856-320-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MAPLE AVE UNIT A",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091818",
            "telephone_number": "856-320-2609",
            "fax_number": "856-320-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYLA COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "BOFAHREDIN",
        "authorized_official_first_name": "BUSHRA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "856-313-7681"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00736300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryla Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Pennsauken, NJ
• Providers in Pennsauken, 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 May 27, 2015; 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.