NPIMap

Organization Active NPI

Pharmedium Services, LLC

  • Pharmacy
  • Edison, NJ
National Provider Identifier
1386903433
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00632500 Issued in NJ
Legal business name
PHARMEDIUM SERVICES, LLC
Practice address
43 Distribution Blvd
Edison, NJ 08817-6005
Phone
(732) 287-8655
NPI assigned
May 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mr. Richard J. Kruzynski, RPH
Title
President
Phone
(847) 457-2302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00632500 NJ Primary

Addresses

Primary practice location

43 Distribution Blvd
Edison, NJ 08817-6005

Mailing address

43 Distribution Blvd
Edison, NJ 08817-6005
Phone (732) 287-8655

National Provider Directory

National Provider Directory
Tax ID family
Pharmedium Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

43 Distribution Blvd
Edison, NJ 08817
Phone (732) 287-8655

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1386903433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DISTRIBUTION BLVD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088176005",
            "telephone_number": "732-287-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 DISTRIBUTION BLVD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088176005",
            "telephone_number": "732-287-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMEDIUM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "KRUZYNSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-457-2302",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00632500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.