Forked River RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

FORKED RIVER RX, LLC

Doing business as

medicine to go pharmacies

Practice address

528 Lacey Rd
Forked River, NJ 08731-1502

Phone

(609) 242-1400

NPI assigned

Mar 24, 2021

Last updated

Mar 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hemil Khandwala

Title

Owner

Phone

(609) 242-1400

Specialties & licenses 1

Addresses

Other names 1

• medicine to go pharmacies Doing business as

Tax ID family

Forked River RX LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Forked River RX, LLC

  dba medicine to go pharmacies

  • Long Term Care Pharmacy
  • Forked River, NJ
  • NPI 1053992982
  NPD tax ID

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1306422712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311502",
            "telephone_number": "609-242-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311502",
            "telephone_number": "609-242-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORKED RIVER RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "KHANDWALA",
        "authorized_official_first_name": "HEMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-242-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medicine to go pharmacies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Foot and Ankle Centre
• Forked River Chiropractic Center
• Forked River Medical Specialists, P.a.
• Forked River Pharmacy
• Forked River RX, LLC (medicine to go pharmacies)
• Forked River RX, LLC (Medicine to Go Pharmacies)
• Frank J. Poplawski,D.M.D.,PA
• Julie Fumosa, LSW
• Jacqueline Gabbard, OTR/L
• Patricia A. Gaffga-Madresh, ED.S, LMFT

• Long Term Care Pharmacy in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.