Iron Bridge Apothecary LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

IRON BRIDGE APOTHECARY LLC

Practice address

515 Iron Bridge Rd Ste 1
Freehold, NJ 07728-5300

Phone

(732) 252-6455

Fax

(848) 444-9497

NPI assigned

Sep 5, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Mitesh Patel, PHARMD.

Title

Pharmacist in Charge

Phone

(732) 252-6455

Specialties & licenses 2

Addresses

Tax ID family

Iron Bridge Apothecary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Iron Bridge Apothecary LLC

  • Community/Retail Pharmacy
  • Freehold, NJ
  • NPI 1750070645
  NPD tax ID

Locations

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1245951698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 IRON BRIDGE RD STE 1",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285300",
            "telephone_number": "732-252-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 IRON BRIDGE RD STE 1",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077285300",
            "telephone_number": "732-252-6455",
            "fax_number": "848-444-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON BRIDGE APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITESH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "732-252-6455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inpatient Pediatric Associates LLC
• Inspire Behavior Consulting, LLC.
• Inspire Behavior Consulting, LLC.
• Integrative Neuromedical Associates LLC
• Interactive Playground & Wellness Center
• Iron Bridge Apothecary LLC
• Iron Bridge Apothecary LLC
• Fady Ishak, OT
• Nour Bassam Isis, MD
• Melissa Ivanitski

• Compounding Pharmacy in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Compounding Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.