Organization Active NPI

New Brunswick Pharmacy LLC

  • Community/Retail Pharmacy
  • New Brunswick, NJ
National Provider Identifier
1174759187
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00693200 Issued in NJ
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

Updated by the provider on May 13, 2013

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

Authorized official

Name
Mrs. Tejasvi Patel, RPHNPI 1669785630
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20211222000071 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7113101304 Practice locations: New Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.