Active NPI
Lakewood Pharmacy LLC
Doing business as Refua Pharmacy
- Community/Retail Pharmacy
- Lakewood, NJ
National Provider Identifier
1467465922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00605700
- Legal business name
- LAKEWOOD PHARMACY LLC
- Doing business as
- Refua Pharmacy
- Practice address
- 911 E County Line Rd
Lakewood, NJ 08701-2069 - Phone
- (732) 942-9987
- Fax
- (732) 810-0260
- NPI assigned
- Aug 15, 2006
- Last updated
- May 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maya Itzhakov
- Title
- President
- Phone
- (718) 454-3052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00605700 | NJ | Primary |
Addresses
Primary practice location
911 E County Line Rd
Lakewood, NJ 08701-2069
Mailing address
911 E County Line Rd
Lakewood, NJ 08701-2069
Phone (732) 942-9987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8747709 | Medicaid | NJ | |
| 8747717 | Medicaid | NJ |
Other names 1
- REFUA PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273449600000",
"number": "1467465922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 E COUNTY LINE RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012069",
"telephone_number": "732-942-9987",
"fax_number": "732-810-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 E COUNTY LINE RD",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012069",
"telephone_number": "732-942-9987",
"fax_number": "732-810-0260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEWOOD PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2010-05-10",
"status": "A",
"authorized_official_last_name": "ITZHAKOV",
"authorized_official_first_name": "MAYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-454-3052",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00605700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8747709",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8747717",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REFUA PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lakewood, NJ
- Lakewood Immediate Care
- Lakewood Kids and Adolescent Dentistry
- Lakewood Obstetrics & Gynecology PA
- Lakewood Pediatric Associates
- Lakewood Pediatric Dental Associates
- Lakewood Physical Therapy and Acupuncture
- Lakewood Resource & Referral Center (Center for health education medicine & dentistry (CHEMED))
- Lakewood Resource and Referral Center Inc (Center for Health Education, Medicine and Dentistry)
- Lakewood Resource and Referral Center Inc (Center for Health Education, Medicine and Dentistry)
- Lakewood Resource and Referral Center, Inc. (Center for Health Education Medicine and Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.