Red Bank Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00146200 Issued in NJ

Legal business name

RED BANK PHARMACY

Practice address

134 Broad St
Red Bank, NJ 07701-1927

Phone

(732) 741-5288

Fax

(732) 741-2274

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Yura

Title

President

Phone

(732) 741-5288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Professional Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla P. McMenamy, PT

  • Physical Therapist
  • Red Bank, NJ
  • NPI 1902932981
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1407907660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011927",
            "telephone_number": "732-741-5288",
            "fax_number": "732-741-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011927",
            "telephone_number": "732-741-5288",
            "fax_number": "732-741-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED BANK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "YURA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-741-5288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00146200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4273605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kyle Reinhardt
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• Community/Retail Pharmacy in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.