NPIMap

Organization Active NPI

PKS Compounding

  • Compounding Pharmacy
  • Edison, NJ
National Provider Identifier
1407604143
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
PKS COMPOUNDING
Practice address
1903 Route 27
Edison, NJ 08817-3212
Phone
(732) 317-4668
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Mr. Alex Goncalves, PHARMDNPI 1215351820
Title
Pharmacist in Charge
Phone
(732) 317-4668

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

1903 Route 27
Edison, NJ 08817-3212

Mailing address

1903 Route 27
Edison, NJ 08817-3212
Phone (732) 317-4668

National Provider Directory

National Provider Directory

Locations

1903 Route 27
Edison, NJ 08817
Phone (732) 317-4668

Practitioners & affiliated clinicians

Practitioners 2

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": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1407604143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173212",
            "telephone_number": "732-317-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173212",
            "telephone_number": "732-317-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKS COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "GONCALVES",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "732-317-4668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "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 8, 2024; 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.