Rollies Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

28RS00749900 Issued in NJ

Legal business name

ROLLIES PHARMACY INC

Practice address

128 Cross Keys Rd
Berlin, NJ 08009-9201

Phone

(856) 210-1515

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Derry Holland

Title

Ceo

Phone

(609) 267-4969

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Rollie's Pharmacy Doing business as

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1265987127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CROSS KEYS RD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099201",
            "telephone_number": "856-210-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CROSS KEYS RD",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099201",
            "telephone_number": "856-210-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLIES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "DERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-267-4969"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00749900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rollie's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Robert Reutter, PA-C
• Lisa Y. Reyes, MA, NCC, LPC
• Rios Enterprise LLC
• William Riviello, RD
• Rachel Robin, RDN, LDN
• Charles David Sacco, MSPT
• Ithiannie Salgado
• Jodi Salvati, LSW
• Hemanth Sambaraju
• Rodney M Satterfield II, MSW

• Long Term Care Pharmacy in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.