Organization Active NPI

Mendham Apothecary, Inc.

  • Pharmacy
  • Mendham, NJ
National Provider Identifier
1396720801
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4259 Issued in NJ
Legal business name
MENDHAM APOTHECARY, INC.
Practice address
88 E Main St
Mendham, NJ 07945-1832
Phone
(973) 543-4400
Fax
(973) 543-5451
NPI assigned
Dec 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Mr. Larry M Kessler, RPH
Title
President
Phone
(973) 543-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 4259 NJ Primary

Addresses

Primary practice location

88 E Main St
Mendham, NJ 07945-1832

Mailing address

88 E Main St
Mendham, NJ 07945-1832
Phone (973) 543-4400

Other identifiers 1

IdentifierTypeStateIssuer
4404700MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1396720801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451832",
            "telephone_number": "973-543-4400",
            "fax_number": "973-543-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E MAIN ST",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451832",
            "telephone_number": "973-543-4400",
            "fax_number": "973-543-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDHAM APOTHECARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-543-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "4259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4404700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.