Wyatt'S Torch

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00628300 Issued in NJ

Legal business name

WYATT'S TORCH

Practice address

1201 Haddon Ave
Camden, NJ 08103-3105

Phone

(856) 963-4742

Fax

(856) 541-8580

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Antonio Minniti, RPH

Title

Owner /Pic

Phone

(856) 963-4742

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BELL PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marian Kristina Morton, RPH

  • Pharmacist
  • Camden, NJ
  • NPI 1689898199
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1225149941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033105",
            "telephone_number": "856-963-4742",
            "fax_number": "856-541-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033105",
            "telephone_number": "856-963-4742",
            "fax_number": "856-541-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYATT'S TORCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "MINNITI",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER /PIC",
        "authorized_official_telephone_number": "856-963-4742",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00628300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140745",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400840",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle C Wright, MD
• Justin Alan Wright
• Kristen M Wright
• Amy Wujick, PT
• Dorothy J Wyatt, NNPBC
• Wyatt'S Torch
• Salina Marie Wydo, M.D.
• Brenna Wynne, MD
• Briana Wynne
• Sabrina Mariah Wynne, PA-C

• Community/Retail Pharmacy in Camden, NJ
• Providers in Camden, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.