Stafford Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00482100 Issued in NJ

Legal business name

STAFFORD PHARMACY INC

Doing business as

Stafford Pharmacy

Practice address

24 Nautilus Dr
Unit 1
Manahawkin, NJ 08050-2490

Phone

(609) 597-9625

Fax

(609) 597-0047

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Genco, RPH

Title

Pharmacist Manager

Phone

(609) 597-9625

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• STAFFORD PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1306943238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NAUTILUS DR",
            "address_2": "UNIT 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502490",
            "telephone_number": "609-597-9625",
            "fax_number": "609-597-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NAUTILUS DR",
            "address_2": "UNIT 1",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502490",
            "telephone_number": "609-597-9625",
            "fax_number": "609-597-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "GENCO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "609-597-9625",
        "authorized_official_credential": "RPH"
    },
    "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": "28RS00482100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4346807",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2057891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAFFORD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stafford Medical P.a.
• Stafford Medical PA
• Stafford Medical, P.a.
• Stafford Opco, LLC
• Stafford Orthopedics PA
• Stafford Surgical Specialists, LLC
• Stafford Township Board of Education
• Stafford Township School District
• Michael John Staino, OTR, CHT, COMT
• Lisa Marie Stanley, MSOT

• Community/Retail Pharmacy in Manahawkin, NJ
• Providers in Manahawkin, 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 Apr 7, 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.