Caldwell Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CALDWELL PHARMACY

Doing business as

Caldwell Pharmacy

Practice address

808 Bloomfield Ave
West Caldwell, NJ 07006-6719

Phone

(973) 808-1800

Fax

(973) 808-1818

NPI assigned

Oct 4, 2019

Organization subpart

No

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

Authorized official

Name

Dr. John Samuel

Title

President

Phone

(845) 300-5897

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caldwell Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Caldwell Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Caldwell Pharmacy

  • Long Term Care Pharmacy
  • West Caldwell, NJ
  • NPI 1215777529
  NPD tax ID

Locations

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1417598095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 BLOOMFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066719",
            "telephone_number": "973-808-1800",
            "fax_number": "973-808-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 BLOOMFIELD AVE",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066719",
            "telephone_number": "973-808-1800",
            "fax_number": "973-808-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDWELL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-300-5897",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0720135",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caldwell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caldwell Community Physical Therapy
• Caldwell Eye Care
• Caldwell Pediatric Therapy Center
• Caldwell Pediatric Therapy Center, LLC
• Caldwell Pharmacy
• Kathleen V. Caldwell-Lombardi, M.D.
• Caldwell-West Caldwell
• Diane Cassidy Callari, MA, CCC-SLP, ATP
• Angela Cangialosi
• Angela F Capo, APN

• Community/Retail Pharmacy in West Caldwell, NJ
• Providers in West Caldwell, 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 Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.