Iannarone Inc
Organization Active NPI Community/Retail Pharmacy · Madison, NJ
NPI 1477598035 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477598035
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 28RS00401600 (NJ)
- Legal business name
- IANNARONE INC
- Practice address
- 66 Main St
Madison, NJ 07940-1813 - Phone
- (973) 377-0075
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Frank Iannarone III III, RPH
- Title
- Owner
- Phone
- (973) 377-0075
Corporate family (same tax ID) 1
Practitioners 4
-
Andrew David Coate, RPH
-
Monica Contessa, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930072882 | NJ | DME Supplier - Pharmacy | 6204955214 | Practice locations: Madison, NJ |
| O20170920003592 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 6204955214 | Practice locations: Madison, NJ |
National Provider Directory
- Tax ID family
- Iannarone Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00401600 | NJ | Yes |
Addresses
Primary practice location
66 Main St
Madison, NJ 07940-1813
Mailing address
66 Main St
Madison, NJ 07940-1813
Phone (973) 377-0075
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4388305 | Medicaid | NJ |
Other names
- MADISON PHARMACY
Other providers in Madison, NJ
- Rebecca Horner
- Ilona Anne Hress
- Herman Huber
- Renee Hughes
- Iannarone Inc
- Frank Anthony Iannarone III
- Ashley Iannuzzi
- Institute for Hand and Arm Surgery
- Integrative Healthcare Services LLC
- Integrative Support Network
All providers in Madison, NJ · Community/Retail Pharmacy in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.