Pca-LTC Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

28RS00718400 Issued in NJ

Legal business name

PCA-LTC PHARMACY

Practice address

66 Ford Rd Ste 220
Denville, NJ 07834-1300

Phone

(973) 453-4666

Fax

(973) 983-5684

NPI assigned

Apr 20, 2012

Organization subpart

No

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

Authorized official

Name

Gary Sekulski

Title

President

Phone

(973) 453-4666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• pca-ltc pharmacy Doing business as

Locations

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1467719005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 FORD RD",
            "address_2": "SUITE 220",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341379",
            "telephone_number": "973-453-4666",
            "fax_number": "973-983-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 FORD RD STE 220",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341300",
            "telephone_number": "973-453-4666",
            "fax_number": "973-983-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA-LTC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "SEKULSKI",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-453-4666"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00718400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3198694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pca-ltc pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Denville, NJ
• Providers in Denville, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.