Organization Active NPI

Rumson Pharmacy NJ LLC

Doing business as Rumson Pharmacy

  • Community/Retail Pharmacy
  • Rumson, NJ
National Provider Identifier
1215958277
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00614800 Issued in NJ
Legal business name
RUMSON PHARMACY NJ LLC
Doing business as
Rumson Pharmacy
Practice address
22 W River Rd
Rumson, NJ 07760-1419
Phone
(732) 842-1234
Fax
(732) 842-1628
NPI assigned
Jul 22, 2006
Last updated
Sep 19, 2025By the provider in NPPES
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
Amit PatelNPI 1366710709
Title
President/Owner
Phone
(732) 842-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00614800 NJ Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

22 W River Rd
Rumson, NJ 07760-1419

Mailing address

22 W River Rd
Rumson, NJ 07760-1419
Phone (732) 842-1234

Other identifiers 2

IdentifierTypeStateIssuer
0257401MedicaidNJ
2129793OtherPK

Other names 1

  • Rumson Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110422000029 NJ DME Supplier - Pharmacy 6901081694 Practice locations: Rumson, NJ
O20111115000437 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6901081694 Practice locations: Rumson, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2239998Rumson Pharmacy22 West River Road, Rumson, NJ 07760Certificate of waiverOct 14, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rumson Pharmacy22 W River Rd, Rumson, NJ 07760-1419(732) 842-1234 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 1, 2011

National Provider Directory

National Provider Directory

Locations

22 W River Rd
Rumson, NJ 07760
Phone (732) 842-1234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1215958277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W RIVER RD",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601419",
            "telephone_number": "732-842-1234",
            "fax_number": "732-842-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W RIVER RD",
            "city": "RUMSON",
            "state": "NJ",
            "postal_code": "077601419",
            "telephone_number": "732-842-1234",
            "fax_number": "732-842-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUMSON PHARMACY NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "732-842-1234"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00614800",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257401",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rumson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rumson, 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.
  • 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.