NPIMap

Organization Active NPI

140 Main Street Corporation

Doing business as Campbell's Pharmacy

  • Long Term Care Pharmacy
  • Sea Girt, NJ
National Provider Identifier
1316720790
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
140 MAIN STREET CORPORATION
Doing business as
Campbell's Pharmacy
Campbell's Pharmacy LTC
Practice address
2175 Highway 35
Sea Girt, NJ 08750-1009
Phone
(732) 974-2929
Fax
(732) 974-2644
NPI assigned
Aug 17, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Frank Fariello, PHARM DNPI 1043437536
Title
Director
Phone
(732) 974-2929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2175 Highway 35
Sea Girt, NJ 08750-1009

Mailing address

2175 Highway 35
Sea Girt, NJ 08750-1009
Phone (732) 974-2929

Other names 2

  • Campbell's Pharmacy Doing business as
  • Campbell's Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
140 Main Street Corporation2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1316720790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 HIGHWAY 35",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501009",
            "telephone_number": "732-974-2929",
            "fax_number": "732-974-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 HIGHWAY 35",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501009",
            "telephone_number": "732-974-2929",
            "fax_number": "732-974-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "140 MAIN STREET CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-11-09",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "FARIELLO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-974-2929",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campbell's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campbell's Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.