Organization Active NPI

Werbak Inc

Doing business as Pompton Pharmacy

  • Community/Retail Pharmacy
  • Pompton Plains, NJ
National Provider Identifier
1396842225
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00609600 Issued in NJ
Legal business name
WERBAK INC
Doing business as
Pompton Pharmacy
Practice address
558 Newark Pompton Tpke
Pompton Plains, NJ 07444-1719
Phone
(973) 839-4200
Fax
(973) 839-7530
NPI assigned
Sep 20, 2006
Last updated
Jun 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Authorized official

Name
David StahlbergerNPI 1326221706
Title
Owner
Phone
(973) 839-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00609600 NJ Primary

Addresses

Primary practice location

558 Newark Pompton Tpke
Pompton Plains, NJ 07444-1719

Mailing address

558 Newark Pompton Tpke
Box 408
Pompton Plains, NJ 07444-1719
Phone (973) 839-4200

Other identifiers 3

IdentifierTypeStateIssuer
8786801MedicaidNJ
2055045OtherPK
8786810MedicaidNJ

Other names 1

  • POMPTON PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930009063 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7517170608 Practice locations: Pompton Plains, NJ
O20150624001027 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7517170608 Practice locations: Pompton Plains, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2209232Pompton Pharmacy558 Newark-Pompton Turnpike, Pompton Plains, NJ 07444Certificate of waiverJan 11, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pompton Pharmacy558 Newark Pompton Tpke, Pompton Plains, NJ 07444-1719(973) 839-4200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies Does not accept assignmentParticipating since Feb 15, 2002

National Provider Directory

National Provider Directory

Locations

558 Newark Pompton Tpke
#408
Pompton Plains, NJ 07444

558 Newark Pompton Tpke
Pompton Plns, NJ 07444
Phone (973) 839-4200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1396842225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 NEWARK POMPTON TPKE",
            "address_2": "BOX 408",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441719",
            "telephone_number": "973-839-4200",
            "fax_number": "973-839-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 NEWARK POMPTON TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441719",
            "telephone_number": "973-839-4200",
            "fax_number": "973-839-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERBAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "STAHLBERGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-839-4200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00609600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8786801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055045",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8786810",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POMPTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompton Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.