Ej and JJ Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00534000 Issued in NJ

Legal business name

EJ AND JJ INC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

2468 Lemoine Ave
Fort Lee, NJ 07024-6206

Phone

(201) 944-1002

Fax

(201) 944-6336

NPI assigned

Jun 3, 2006

Last updated

Dec 29, 2014By 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

Mr. James Jisuk Jung, R.PH.

Title

Pharmacist President

Phone

(201) 944-1002

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• THE MEDICINE SHOPPE PHARMACY Doing business as

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1467490177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246206",
            "telephone_number": "201-944-1002",
            "fax_number": "201-944-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246206",
            "telephone_number": "201-944-1002",
            "fax_number": "201-944-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJ AND JJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JISUK",
        "authorized_official_title_or_position": "PHARMACIST PRESIDENT",
        "authorized_official_telephone_number": "201-944-1002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00534000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6996906",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6996914",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTICS & PROSTHETICS( PEDORTHIST)",
            "identifier": "45PD00000700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Fort Lee, NJ
• Providers in Fort Lee, 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 Dec 29, 2014; 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.