Forked River RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FORKED RIVER RX, LLC

Doing business as

Medicine to Go Pharmacies

Practice address

528 Lacey Rd
Forked River, NJ 08731-1502

Phone

(609) 242-1400

NPI assigned

Mar 12, 2021

Last updated

Mar 12, 2021By 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

Hemil Khandwala

Title

Owner

Phone

(609) 242-1400

Specialties & licenses 2

Addresses

Other names 1

• Medicine to Go Pharmacies Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1437734316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311502",
            "telephone_number": "609-242-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORKED RIVER RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "KHANDWALA",
        "authorized_official_first_name": "HEMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-242-1400"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine to Go Pharmacies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forked River Chiropractic Center
• Forked River Medical Specialists, P.a.
• Forked River Pharmacy
• Forked River RX, LLC (medicine to go pharmacies)
• Forked River RX, LLC (medicine to go pharmacies)
• Frank J. Poplawski,D.M.D.,PA
• Julie Fumosa, LSW
• Jacqueline Gabbard, OTR/L
• Patricia A. Gaffga-Madresh, ED.S, LMFT
• Joseph Peter Galante, APRN

• Community/Retail Pharmacy in Forked River, NJ
• Providers in Forked River, 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 Mar 12, 2021; 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.