Boyds Pharmacy of Bordentown Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00547800 Issued in NJ

Legal business name

BOYDS PHARMACY OF BORDENTOWN INC

Doing business as

Boyds Pharmacy of Bordentown

Practice address

118 Farnsworth Ave
Bordentown, NJ 08505-1308

Phone

(609) 298-1811

Fax

(609) 298-8865

NPI assigned

Aug 10, 2006

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clark Boyd, RPH

Title

Owner

Phone

(609) 499-0100

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• BOYDS PHARMACY OF BORDENTOWN Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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.

• Lardner Clark Boyd III, RPH

  • Pharmacist
  • Florence, NJ
  • NPI 1235289877
  NPD
• Mark Cardis

  • Pharmacist
  • Bordentown, NJ
  • NPI 1790811578
  NPD (past)
• Katelyn Davidson, CPHT

  • Pharmacy Technician
  • Florence, NJ
  • NPI 1295487569
  NPD (past)
• Joseph Martin Montalto, PHARM D.

  • Pharmacist
  • Bordentown, NJ
  • NPI 1477204832
  NPD (past)
• Doriann Supey, RPH

  • Pharmacist
  • Bordentown, NJ
  • NPI 1417609579
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1417968934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051308",
            "telephone_number": "609-298-1811",
            "fax_number": "609-298-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 FARNSWORTH AVE",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085051308",
            "telephone_number": "609-298-1811",
            "fax_number": "609-298-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYDS PHARMACY OF BORDENTOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-499-0100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00547800",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7895003",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOYDS PHARMACY OF BORDENTOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bordentown Counseling Center, LLC
• Bordentown Dental Arts, LLC
• Bordentown Family Dental PC
• Bordentown Family Practice PA
• Bordentown Regional School District
• Brain Life Connection LLC
• William Burns-Lynch, MA, LPC
• Jerry Alfred Caci, M.D.
• Heidi Camerlengo
• Mary F. Campagnolo, MD

• Community/Retail Pharmacy in Bordentown, NJ
• Providers in Bordentown, 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 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.