Organization Active NPI

Community Surgical Supply of Toms River Inc

Doing business as Community Surgical Pharmacy

  • Community/Retail Pharmacy
  • Toms River, NJ
National Provider Identifier
1417044611
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00211800 Issued in NJ
Legal business name
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER INC
Doing business as
Community Surgical Pharmacy
Practice address
163 Route 37 W
Toms River, NJ 08755-8046
Phone
(732) 349-2990
Fax
(732) 505-4450
NPI assigned
Oct 7, 2006
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Stanley Kalemba, RP
Title
Pharmacist in Charge
Phone
(732) 349-2990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00211800 NJ Primary

Addresses

Primary practice location

163 Route 37 W
Toms River, NJ 08755-8046

Mailing address

PO Box 4686
Toms River, NJ 08754-4686

Other identifiers 2

IdentifierTypeStateIssuer
2056916OtherPK
4265904MedicaidNJ

Other names 1

  • COMMUNITY SURGICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1417044611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4686",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087544686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558046",
            "telephone_number": "732-349-2990",
            "fax_number": "732-505-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SURGICAL SUPPLY OF TOMS RIVER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "KALEMBA",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "732-349-2990",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00211800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056916",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4265904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY SURGICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.