Organization Active NPI

Kingsway Pharmacy LLC

Doing business as Kingsway Pharmacy

  • Community/Retail Pharmacy
  • Budd Lake, NJ
National Provider Identifier
1184924516
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00708600 Issued in NJ
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

Updated by the provider on Nov 4, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3197438OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KINGSWAY PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.