Active NPI
New Brunswick Pharmacy LLC
- Community/Retail Pharmacy
- New Brunswick, NJ
National Provider Identifier
1174759187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00693200
- Legal business name
- NEW BRUNSWICK PHARMACY LLC
- Practice address
- 159 French St
New Brunswick, NJ 08901-2341 - Phone
- (732) 418-1100
- Fax
- (732) 418-1109
- NPI assigned
- Jun 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tejasvi Patel, RPH
- Title
- Pharmacist Manager
- Phone
- (732) 418-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00693200 | NJ | Primary |
Addresses
Primary practice location
159 French St
New Brunswick, NJ 08901-2341
Mailing address
159 French St
New Brunswick, NJ 08901-2341
Phone (732) 418-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211222000071 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113101304 | Practice locations: New Brunswick, NJ |
National Provider Directory
National Provider DirectoryLocations
159 French St
New Brunswick, NJ 08901
Phone (732) 418-1100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- New Brunswick, NJ
- NPI 1669785630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368403200000",
"number": "1174759187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 FRENCH ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012341",
"telephone_number": "732-418-1100",
"fax_number": "732-418-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 FRENCH ST",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012341",
"telephone_number": "732-418-1100",
"fax_number": "732-418-1109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BRUNSWICK PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-04",
"last_updated": "2013-05-13",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "TEJASVI",
"authorized_official_title_or_position": "PHARMACIST MANAGER",
"authorized_official_telephone_number": "732-418-1100",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00693200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
- New Brunswick Board of Education
- New Brunswick Chiropractic Associates
- New Brunswick Counseling Center
- New Brunswick Counseling Center
- New Brunswick Emergency Medicine Associates
- New Brunswick Physical Therapy,PA
- New Brunswick Therapy
- New Jersey Comprehensive Epilepsy Center Inc
- New Jersey Imaging Corporation
- New Jersey OB Hospitalist PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.