Organization Active NPI

Barnegat Pharmacy LLC

Doing business as Jersey Shore Pharmacy

  • Community/Retail Pharmacy
  • Barnegat, NJ
National Provider Identifier
1497998389
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00689000 Issued in NJ
Legal business name
BARNEGAT PHARMACY LLC
Doing business as
Jersey Shore Pharmacy
Practice address
580 N Main St
Barnegat, NJ 08005-2594
Phone
(609) 660-1111
Fax
(609) 660-0101
NPI assigned
Apr 8, 2009
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Jay Greco, RPHNPI 1942443817
Title
Owner
Phone
(609) 660-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00689000 NJ Primary
Long Term Care Pharmacy 3336L0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

580 N Main St
Barnegat, NJ 08005-2594

Mailing address

580 N Main St
Barnegat, NJ 08005-2594
Phone (609) 660-1111

Other identifiers 2

IdentifierTypeStateIssuer
0208329MedicaidNJ
2119887OtherPK

Other names 1

  • Jersey Shore Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201118001787 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7517166366 Practice locations: Barnegat, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Barnegat Pharmacy LLC580 N Main St, Barnegat, NJ 08005-2594(609) 660-1111 Nebulizer Drugs Does not accept assignmentParticipating since Jul 20, 2009

National Provider Directory

National Provider Directory

Locations

580 N Main St
Barnegat, NJ 08005
Phone (609) 660-1111

580 N Main St
Ste 4
Barnegat, NJ 08005
Phone (609) 660-1111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1497998389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 N MAIN ST",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052594",
            "telephone_number": "609-660-1111",
            "fax_number": "609-660-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N MAIN ST",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052594",
            "telephone_number": "609-660-1111",
            "fax_number": "609-660-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNEGAT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-660-1111",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00689000",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208329",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.