Organization Active NPI

Fernik LLC

Doing business as Ludwigs Pharmacy

  • Community/Retail Pharmacy
  • Perth Amboy, NJ
National Provider Identifier
1295771673
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00667200 Issued in NJ
Legal business name
FERNIK LLC
Doing business as
Ludwigs Pharmacy
Practice address
475 Brace Ave
Perth Amboy, NJ 08861-3018
Phone
(732) 442-6442
Fax
(732) 442-5784
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Fernando Oliveira
Title
Manager
Phone
(732) 442-6442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00667200 NJ Primary

Addresses

Primary practice location

475 Brace Ave
Perth Amboy, NJ 08861-3018

Mailing address

475 Brace Ave
Perth Amboy, NJ 08861-3018
Phone (732) 442-6442

Other identifiers 2

IdentifierTypeStateIssuer
4288904MedicaidNJ
2056363OtherPK

Other names 1

  • LUDWIGS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

475 Brace Ave
Perth Amboy, NJ 08861
Phone (415) 606-8086

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1295771673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BRACE AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613018",
            "telephone_number": "732-442-6442",
            "fax_number": "732-442-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BRACE AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613018",
            "telephone_number": "732-442-6442",
            "fax_number": "732-442-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-442-6442"
    },
    "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": "28RS00667200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4288904",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUDWIGS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.