Smash Medicine L L C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00706400 Issued in NJ

Legal business name

SMASH MEDICINE L L C

Practice address

836 ML King Blvd
Trenton, NJ 08638

Phone

(609) 396-6288

Fax

(609) 396-6233

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Sarfaraz Ahmed, RPH/BS

Title

RPH

Phone

(609) 234-0567

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• King Boulevard Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1467470484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 ML KING BLVD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-396-6288",
            "fax_number": "609-396-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 ML KING BLVD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-396-6288",
            "fax_number": "609-396-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMASH MEDICINE L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SARFARAZ",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "609-234-0567",
        "authorized_official_credential": "RPH/BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00706400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3193769",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Boulevard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darya Skamyanava
• Natalie Skigen
• Cathia Skinner
• Barry Fitzherbert Slater, PYHSICIAN ASSISTANT
• Adila Slaugther, RN
• Smash Medicine LLC
• Jessica Marie Smires
• Amy Elizabeth Smith
• Demetrius Smith, LSW
• Joseph Russell Smith

• Community/Retail Pharmacy in Trenton, NJ
• Providers in Trenton, 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 Apr 19, 2011; 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.