Light Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

28RS00721200 Issued in NJ

Legal business name

LIGHT PHARMACY LLC

Doing business as

Light Pharmacy

Practice address

212 Laurel Heights Dr
Bridgeton, NJ 08302-3634

Phone

(856) 417-0005

NPI assigned

Dec 21, 2012

Last updated

Dec 21, 2012By 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. Aaron King, RPH

Title

Owner/Pic

Phone

(856) 417-0005

Specialties & licenses 2

Addresses

Other names 1

• Light Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1336485283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023634",
            "telephone_number": "856-417-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 LAUREL HEIGHTS DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083023634",
            "telephone_number": "856-417-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "856-417-0005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00721200",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NJ",
            "license": "28RS00721200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Light Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison M Lant, LCSW
• Laurel Homecare Services Inc
• Sandra J Legore, PT MS
• Leon Stotter Healthcare Services
• Yin Leung
• Richard Lin
• Barbara Lipski, DDS
• Ronald B Lorenc, MD
• Diana Lozada, RN
• Robert A. Lummis, D.M.D., M.A.G.D.

• Compounding Pharmacy in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Compounding Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.