Organization Active NPI

Kennedy Pharmacy

  • Community/Retail Pharmacy
  • Edison, NJ
National Provider Identifier
1275998890
Registry record updated Mar 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
APPLICATION IN PROCE Issued in NU
Legal business name
KENNEDY PHARMACY
Doing business as
Kennedy Pharmacy
Practice address
1 Lincoln Hwy
Store # 3
Edison, NJ 08820-3962
Phone
(732) 515-9500
Fax
(732) 515-9503
NPI assigned
Dec 26, 2015
Last updated
Mar 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2018

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

Authorized official

Name
Hemant H Vora, R.PH.
Title
Pharmacist-in-Charge
Phone
(732) 515-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X APPLICATION IN PROCE NU Primary

Addresses

Primary practice location

1 Lincoln Hwy
Store # 3
Edison, NJ 08820-3962

Mailing address

1 Lincoln Hwy
Store # 3
Edison, NJ 08820-3962
Phone (732) 515-9500

Other names 1

  • Kennedy Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180327001014 NJ Part B Supplier - Pharmacy 5193003507 Practice locations: Edison, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kennedy Pharmacy LLC1 Lincoln Hwy, Edison, NJ 08820-3962(732) 515-9500 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Urological Supplies|Surgical Dressings|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Nov 4, 2016

National Provider Directory

National Provider Directory

Locations

1 Lincoln Hwy
Ste 3
Edison, NJ 08820
Phone (732) 515-9500

Practitioners & affiliated clinicians

Practitioners 1

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": "1451088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521936000000",
    "number": "1275998890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LINCOLN HWY",
            "address_2": "STORE # 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203962",
            "telephone_number": "732-515-9500",
            "fax_number": "732-515-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LINCOLN HWY",
            "address_2": "STORE # 3",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203962",
            "telephone_number": "732-515-9500",
            "fax_number": "732-515-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-26",
        "last_updated": "2018-03-25",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "HEMANT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "732-515-9500",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": "APPLICATION IN PROCE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennedy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kennedy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2018; 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.