Organization Active NPI

Larchmont Pharmacy

  • Community/Retail Pharmacy
  • Mount Laurel, NJ
National Provider Identifier
1215319991
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00745900 Issued in NJ
Legal business name
LARCHMONT PHARMACY
Practice address
200 Larchmont Blvd Ste 5
Mount Laurel, NJ 08054-3379
Phone
(856) 235-8888
Fax
(856) 235-8881
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Vu Huynh
Title
Owner
Phone
(856) 727-0005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00745900 NJ Primary

Addresses

Primary practice location

200 Larchmont Blvd Ste 5
Mount Laurel, NJ 08054-3379

Mailing address

200 Larchmont Blvd Ste 5
Mount Laurel, NJ 08054-3379
Phone (856) 727-0005

Other identifiers 2

IdentifierTypeStateIssuer
0517151MedicaidNJ
2152661OtherPK

Other names 1

  • Larchmont Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

200 Larchmont Blvd
Ste 5
Mount Laurel, NJ 08054
Phone (856) 235-8888

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1215319991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LARCHMONT BLVD STE 5",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543379",
            "telephone_number": "856-727-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LARCHMONT BLVD STE 5",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543379",
            "telephone_number": "856-235-8888",
            "fax_number": "856-235-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "VU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-727-0005"
    },
    "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": "28RS00745900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0517151",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larchmont Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.