Organization Active NPI

Quick Med Pharmacy Inc

  • Long Term Care Pharmacy
  • Asbury Park, NJ
National Provider Identifier
1285449587
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
QUICK MED PHARMACY INC
Practice address
1221 Main St
Asbury Park, NJ 07712-5940
Phone
(732) 897-1500
Fax
(732) 897-1515
NPI assigned
Feb 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mr. Kiran Venigalla, RPH.
Title
Pharmacy Manager
Phone
(732) 897-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1221 Main St
Asbury Park, NJ 07712-5940

Mailing address

1221 Main St
Asbury Park, NJ 07712-5940
Phone (732) 897-1500

Other identifiers 1

IdentifierTypeStateIssuer
0419842MedicaidNJ

Other names 1

  • Quick Med Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Quick Med Pharmacy2 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.

Locations

1221 Main St
Asbury Park, NJ 07712
Phone (732) 692-7986

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1285449587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125940",
            "telephone_number": "732-897-1500",
            "fax_number": "732-897-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MAIN ST",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "077125940",
            "telephone_number": "732-897-1500",
            "fax_number": "732-897-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK MED PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "VENIGALLA",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "732-897-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419842",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quick Med Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asbury Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.