Organization Active NPI

Princeton Pharmacy

  • Community/Retail Pharmacy
  • Princeton, NJ
National Provider Identifier
1205934239
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00444600 Issued in NJ
Legal business name
PRINCETON PHARMACY
Practice address
36 University PL
Princeton, NJ 08540-5116
Phone
(609) 924-4545
Fax
(609) 921-2467
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Authorized official

Name
William Zagoreos, RPH
Title
Owner
Phone
(609) 924-4545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00444600 NJ Primary

Addresses

Primary practice location

36 University PL
Princeton, NJ 08540-5116

Mailing address

36 University PL
Princeton, NJ 08540-5116
Phone (609) 924-4545

Other identifiers 2

IdentifierTypeStateIssuer
2051757OtherPK
4419707MedicaidNJ

Other names 1

  • PRINCETON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

36 University Pl
Princeton, NJ 08540
Phone (609) 924-4545

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1205934239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 UNIVERSITY PL",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405116",
            "telephone_number": "609-924-4545",
            "fax_number": "609-921-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 UNIVERSITY PL",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405116",
            "telephone_number": "609-924-4545",
            "fax_number": "609-921-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "ZAGOREOS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-924-4545",
        "authorized_official_credential": "RPH"
    },
    "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": "28RS00444600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051757",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4419707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINCETON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.