Active NPI
Fernik LLC
Doing business as Ludwigs Pharmacy
- Community/Retail Pharmacy
- Perth Amboy, NJ
National Provider Identifier
1295771673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00667200
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4288904 | Medicaid | NJ | |
| 2056363 | Other | PK |
Other names 1
- LUDWIGS PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.