Organization Active NPI

Generation Pharmacy Group, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Montville, NJ
National Provider Identifier
1255675070
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
28RS00722500 Issued in NJ
Legal business name
GENERATION PHARMACY GROUP, LLC
Practice address
110 Main Rd
Montville, NJ 07045-9215
Phone
(973) 299-2500
Fax
(973) 909-9935
NPI assigned
Nov 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Mrs. Lyndsee Kay Manna
Title
Vice President, Owner
Phone
(973) 299-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 28RS00722500 NJ Primary

Addresses

Primary practice location

110 Main Rd
Montville, NJ 07045-9215

Mailing address

110 Main Rd
Montville, NJ 07045-9215
Phone (973) 299-2500

National Provider Directory

National Provider Directory

Locations

110 Main Rd
Montville, NJ 07045
Phone (973) 299-2500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1255675070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459215",
            "telephone_number": "973-299-2500",
            "fax_number": "973-909-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAIN RD",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459215",
            "telephone_number": "973-299-2500",
            "fax_number": "973-909-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION PHARMACY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "MANNA",
        "authorized_official_first_name": "LYNDSEE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "VICE PRESIDENT, OWNER",
        "authorized_official_telephone_number": "973-299-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "28RS00722500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.