Organization Active NPI

Holiday City Pharmacy, LLC

Doing business as Holiday City Pharmacy

  • Community/Retail Pharmacy
  • Toms River, NJ
National Provider Identifier
1417264417
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00708200 Issued in NJ
Legal business name
HOLIDAY CITY PHARMACY, LLC
Doing business as
Holiday City Pharmacy
Practice address
833 Route 37 W
Toms River, NJ 08755-5038
Phone
(732) 349-3999
Fax
(732) 349-3900
NPI assigned
Sep 12, 2010
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Mr. Naveen Parupalli
Title
Member
Phone
(732) 349-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00708200 NJ Primary

Addresses

Primary practice location

833 Route 37 W
Toms River, NJ 08755-5038

Mailing address

833 Route 37 W
Toms River, NJ 08755-5038
Phone (732) 349-3999

Other identifiers 1

IdentifierTypeStateIssuer
1561424OtherNJBUSINESS REGISTRATION CERTIFICAT

Other names 1

  • HOLIDAY CITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1284249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1417264417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555038",
            "telephone_number": "732-349-3999",
            "fax_number": "732-349-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 ROUTE 37 W",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555038",
            "telephone_number": "732-349-3999",
            "fax_number": "732-349-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY CITY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-12",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "PARUPALLI",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-349-3999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00708200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS REGISTRATION CERTIFICAT",
            "identifier": "1561424",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLIDAY CITY 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 Apr 15, 2011; 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.