Active NPI
Mendham Apothecary, Inc.
- Pharmacy
- Mendham, NJ
National Provider Identifier
1396720801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 4259
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4404700 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI 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.