Organization Active NPI

Larchmont Pharmacy LTC

  • Long Term Care Pharmacy
  • Mount Laurel, NJ
National Provider Identifier
1437665999
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
28RS00745900 Issued in NJ
Legal business name
LARCHMONT PHARMACY LTC
Doing business as
Larchmont Pharmacy LTC
Practice address
200 Larchmont Blvd Ste 5
Mount Laurel, NJ 08054-3379
Phone
(856) 235-8888
Fax
(856) 235-8881
NPI assigned
Dec 20, 2017
Organization subpart
Yes
Parent organization
LARCHMONT PHARMACY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Mr. Vu Huynh
Title
Owner
Phone
(856) 235-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 28RS00745900 NJ Primary

Addresses

Primary practice location

200 Larchmont Blvd Ste 5
Mount Laurel, NJ 08054-3379

Mailing address

200 Larchmont Blvd Ste 5
Mount Laurel, NJ 08054-3379
Phone (856) 235-8888

Other names 1

  • Larchmont Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Part of
Larchmont Pharmacy

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1437665999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LARCHMONT BLVD STE 5",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543379",
            "telephone_number": "856-235-8888",
            "fax_number": "856-235-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LARCHMONT BLVD STE 5",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543379",
            "telephone_number": "856-235-8888",
            "fax_number": "856-235-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARCHMONT PHARMACY LTC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LARCHMONT PHARMACY, LLC",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "VU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-235-8888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00745900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larchmont Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.