Active NPI
Kingsway Pharmacy LLC
Doing business as Kingsway Pharmacy
- Community/Retail Pharmacy
- Budd Lake, NJ
National Provider Identifier
1184924516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00708600
- Legal business name
- KINGSWAY PHARMACY LLC
- Doing business as
- Kingsway Pharmacy
- Practice address
- 135 US Highway 46
Budd Lake, NJ 07828-2514 - Phone
- (973) 448-3702
- Fax
- (973) 448-3705
- NPI assigned
- Nov 2, 2010
- 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
- Esther Ugwu
- Title
- Pharmacist in Charge
- Phone
- (973) 448-3702
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00708600 | NJ | Primary |
Addresses
Primary practice location
135 US Highway 46
Budd Lake, NJ 07828-2514
Mailing address
55 Shippen RDG
Oxford, NJ 07863-3238
Phone (908) 453-3692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3197438 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- KINGSWAY PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1184924516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SHIPPEN RDG",
"city": "OXFORD",
"state": "NJ",
"postal_code": "078633238",
"telephone_number": "908-453-3692",
"fax_number": "908-453-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 US HIGHWAY 46",
"city": "BUDD LAKE",
"state": "NJ",
"postal_code": "078282514",
"telephone_number": "973-448-3702",
"fax_number": "973-448-3705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGSWAY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-02",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "UGWU",
"authorized_official_first_name": "ESTHER",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "973-448-3702"
},
"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": "28RS00708600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3197438",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KINGSWAY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Budd Lake, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.