Active NPI
Larchmont Pharmacy LTC
- Long Term Care Pharmacy
- Mount Laurel, NJ
National Provider Identifier
1437665999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 28RS00745900
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Community/Retail Pharmacy
- Mount Laurel, NJ
- NPI 1215319991
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.