Brace Rd Supermarket, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRACE RD SUPERMARKET, LLC

Practice address

1445 Brace Rd
Cherry Hill, NJ 08034-3535

Phone

(856) 216-7710

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Mona Gadkari

Title

Third Party/Pharmacy Systems Admin

Phone

(732) 521-8448

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1306046800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343535",
            "telephone_number": "856-216-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 BRACE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343535",
            "telephone_number": "856-216-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACE RD SUPERMARKET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "GADKARI",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "THIRD PARTY/PHARMACY SYSTEMS ADMIN",
        "authorized_official_telephone_number": "732-521-8448"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcell Boyce
• Kimberly Boyle
• Mindy Boyles, MS, ATC
• Suzanne Bracchi
• Brace Medical Group LLC
• Braden Dental of South Jersey PC
• Anna Bradley
• Emily E Bradshaw, OT
• Caitlin Brady, PT
• Madison Bailee Bragg, LMSW

• Community/Retail Pharmacy in Cherry Hill, NJ
• Providers in Cherry Hill, 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 Aug 20, 2008; 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.