Organization Active NPI

Irxsom LLC

  • Clinic Pharmacy
  • Somerville, NJ
National Provider Identifier
1356840656
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
28RS00763500 Issued in NJ
Legal business name
IRXSOM LLC
Practice address
46 E Main St
Somerville, NJ 08876-2312
Phone
(908) 458-8610
Fax
(908) 458-8611
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Ed Macqueen
Title
Chief Operating Officer
Phone
(609) 606-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 28RS00763500 NJ Primary

Addresses

Primary practice location

46 E Main St
Somerville, NJ 08876-2312

Mailing address

76 W Gilbert St
Tinton Falls, NJ 07701-4918
Phone (609) 606-7000

Other identifiers 1

IdentifierTypeStateIssuer
2175797OtherPK

Other names 1

  • IntegrityRx (Somerset County) Doing business as

National Provider Directory

National Provider Directory

Locations

76 W Gilbert St
Tinton Falls, NJ 07701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1356840656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W GILBERT ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014918",
            "telephone_number": "609-606-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762312",
            "telephone_number": "908-458-8610",
            "fax_number": "908-458-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRXSOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MACQUEEN",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "609-606-7000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NJ",
            "license": "28RS00763500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IntegrityRx (Somerset County)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.