Organization Active NPI

Jolins Pharmacy

Doing business as Jolin's Pharmacy LLC

  • Community/Retail Pharmacy
  • Sicklerville, NJ
National Provider Identifier
1285919571
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00718300 Issued in NJ
Legal business name
JOLINS PHARMACY
Doing business as
Jolin's Pharmacy LLC
Practice address
412 Sicklerville Rd Ste 103
Sicklerville, NJ 08081-2557
Phone
(856) 885-4510
Fax
(856) 885-4571
NPI assigned
Oct 18, 2011
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
John AgyemangNPI 1487934626
Title
Owner
Phone
(856) 885-4510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00718300 NJ Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

412 Sicklerville Rd Ste 103
Sicklerville, NJ 08081-2557

Mailing address

412 Sicklerville Rd
Unit 103
Sicklerville, NJ 08081-2557
Phone (856) 885-4510

Other identifiers 1

IdentifierTypeStateIssuer
2134259OtherPK

Other names 1

  • Jolin's Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

412 Sicklerville Rd
Ste 103
Sicklerville, NJ 08081
Phone (856) 885-4510

Practitioners & affiliated clinicians

Practitioners 2

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": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1285919571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SICKLERVILLE RD",
            "address_2": "UNIT 103",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812557",
            "telephone_number": "856-885-4510",
            "fax_number": "856-885-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SICKLERVILLE RD STE 103",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812557",
            "telephone_number": "856-885-4510",
            "fax_number": "856-885-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLINS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "AGYEMANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-885-4510"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00718300",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jolin's Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.