Tri Town Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TRI TOWN PHARMACY LLC

Practice address

279 Browertown Rd
Woodland Park, NJ 07424-2663

Phone

(973) 689-4901

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Lucy Isaac

Title

Owner

Phone

(718) 210-6232

Specialties & licenses 1

Addresses

Other names 1

• tritown ltc Other name

Locations

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1407679442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BROWERTOWN RD",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242663",
            "telephone_number": "973-689-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BROWERTOWN RD",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242663",
            "telephone_number": "973-689-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI TOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-210-6232"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tritown ltc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.