Active NPI
Sap Pharmacy Management Services LLC
- Community/Retail Pharmacy
- Jersey City, NJ
National Provider Identifier
1316476542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00756800
- Legal business name
- SAP PHARMACY MANAGEMENT SERVICES LLC
- Doing business as
- horizon pharmacy
- Practice address
- 115 Christopher Columbus Dr
Jersey City, NJ 07302-5526 - Phone
- (551) 200-9680
- NPI assigned
- Jun 10, 2017
- 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
- S Derrick, RPH
- Title
- Pharmacist Incharge
- Phone
- (551) 200-9680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00756800 | NJ | Primary |
Addresses
Primary practice location
115 Christopher Columbus Dr
Jersey City, NJ 07302-5526
Mailing address
115 Christopher Columbus Dr
Jersey City, NJ 07302-5526
Phone (551) 200-9680
Other names 1
- horizon pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180614000818 | NJ | DME Supplier - Pharmacy | 6709131865 | Practice locations: Jersey City, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2211495 | Horizon Pharmacy | Certificate of waiver | Jan 27, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Sap Pharmacy Management Services | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
115 Christopher Columbus Dr
Ste 101
Jersey City, NJ 07302
Phone (551) 200-9680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754524800000",
"number": "1316476542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CHRISTOPHER COLUMBUS DR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073025526",
"telephone_number": "551-200-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CHRISTOPHER COLUMBUS DR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073025526",
"telephone_number": "551-200-9680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAP PHARMACY MANAGEMENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-10",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A",
"authorized_official_last_name": "DERRICK",
"authorized_official_first_name": "S",
"authorized_official_title_or_position": "PHARMACIST INCHARGE",
"authorized_official_telephone_number": "551-200-9680",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00756800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "horizon pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.