Jill Pharmacy Corp

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

JILL PHARMACY CORP

Practice address

191 Rock Rd
Glen Rock, NJ 07452-1706

Phone

(201) 444-4190

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Harsha V Mori

Title

Owner

Phone

(201) 444-4190

Specialties & licenses 1

Addresses

Other names 1

• ROCK RIDGE PHARMACY Doing business as

Tax ID family

Jill Pharmacy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jill Pharmacy Corp.

  • Compounding Pharmacy
  • Glen Rock, NJ
  • NPI 1144430513
  NPD tax ID

Locations

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1184309031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521706",
            "telephone_number": "201-444-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "MORI",
        "authorized_official_first_name": "HARSHA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-444-4190"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCK RIDGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.