Organization Active NPI

Pennington Apothecary LLC

  • Community/Retail Pharmacy
  • Pennington, NJ
National Provider Identifier
1467494245
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00619100 Issued in NJ
Legal business name
PENNINGTON APOTHECARY LLC
Practice address
6 N Main St
Pennington, NJ 08534-2221
Phone
(609) 737-9297
Fax
(609) 737-9296
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Wasay Hussain
Title
Owner
Phone
(609) 737-9297

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00619100 NJ Primary

Addresses

Primary practice location

6 N Main St
Pennington, NJ 08534-2221

Mailing address

6 N Main St
Pennington, NJ 08534-2221
Phone (609) 737-9297

Other identifiers 2

IdentifierTypeStateIssuer
3145011OtherNCPDP PROVIDER IDENTIFICATION NUMBER
8980403MedicaidNJ

Other names 1

  • PENNINGTON APOTHECARY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930021435 NJ DME Supplier - Pharmacy 0941415459 Practice locations: Pennington, NJ
O20210315001402 NJ Part B Supplier - Pharmacy 0941415459 Practice locations: Pennington, NJ
O20250602002081 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 0941415459 Practice locations: Pennington, NJ

National Provider Directory

National Provider Directory
Tax ID family
Pennington Apothecary2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1467494245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342221",
            "telephone_number": "609-737-9297",
            "fax_number": "609-737-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342221",
            "telephone_number": "609-737-9297",
            "fax_number": "609-737-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "WASAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-737-9297"
    },
    "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": "28RS00619100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3145011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8980403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PENNINGTON APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PENNINGTON APOTHECARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.