Bradley Beach Pahramcy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00380000 Issued in NJ

Legal business name

BRADLEY BEACH PAHRAMCY INC.

Doing business as

Bradley Beach Pharmacy

Practice address

128 Main St
Bradley Beach, NJ 07720-1030

Phone

(732) 774-7174

Fax

(732) 774-7175

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Yatman Keung

Title

President

Phone

(732) 774-7174

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BRADLEY BEACH PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1285799619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MAIN ST",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201030",
            "telephone_number": "732-774-7174",
            "fax_number": "732-774-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MAIN ST",
            "city": "BRADLEY BEACH",
            "state": "NJ",
            "postal_code": "077201030",
            "telephone_number": "732-774-7174",
            "fax_number": "732-774-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY BEACH PAHRAMCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "KEUNG",
        "authorized_official_first_name": "YATMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-774-7174"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00380000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4372808",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRADLEY BEACH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Ryan Counseling LLC
• Janine Baadarani, MS, LPC
• Brittany Ann Barnstead, LPC, ATR
• John R Bilas, D.C.
• Bradley Beach Board of Education
• Thomas Anthony Conklin, LPC
• Valerie Geraldine Darlington
• Alaethia Doctor, L.AC
• Jane Dougherty, LPC
• Steven Robert Ferro, PT, DPT

• Community/Retail Pharmacy in Bradley Beach, NJ
• Providers in Bradley Beach, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.