Organization Active NPI

Sap Pharmacy Management Services LLC

  • Community/Retail Pharmacy
  • Jersey City, NJ
National Provider Identifier
1316476542
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00756800 Issued in NJ
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

Updated by the provider on Aug 7, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180614000818 NJ DME Supplier - Pharmacy 6709131865 Practice locations: Jersey City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2211495Horizon Pharmacy115 Christopher Columbus Dr, Jersey City, NJ 07302Certificate of waiverJan 27, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sap Pharmacy Management Services115 Christopher Columbus Dr, Jersey City, NJ 07302-5526(551) 200-9680 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Feb 26, 2018

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.