Poets Square Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00575400 Issued in NJ

Legal business name

POETS SQUARE PHARMACY INC

Doing business as

Poets Pharmacy

Practice address

10 Thoreau Dr
Freehold, NJ 07728-4666

Phone

(732) 409-1100

Fax

(732) 409-3440

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Komal Bajwa

Title

Owner

Phone

(732) 409-1100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Poets Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Eli Korn, R.PH.

  • Pharmacist
  • Morganville, NJ
  • NPI 1538438973
  NPD
• Glenn Shevins, RPH

  • Pharmacist
  • Freehold, NJ
  • NPI 1700155884
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1184796864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 THOREAU DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284666",
            "telephone_number": "732-409-1100",
            "fax_number": "732-409-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 THOREAU DR",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284666",
            "telephone_number": "732-409-1100",
            "fax_number": "732-409-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POETS SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "KOMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-409-1100"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00575400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8254303",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poets Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean F Pignataro, NP
• Katie Piltz, LSW
• Jackeline Pinkhasova
• Denise Marie Piotrowski, D.C.
• Michael Piscopiello, MD
• Kathryn Poklemba, PT
• Gabriella Ann Polera
• Nicole Policastro
• Martin Stuart Pollack, DC
• Karen Pollak, P.T.

• Community/Retail Pharmacy in Freehold, NJ
• Providers in Freehold, 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 Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.