Dunn Meadow LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

28RS00739400 Issued in NJ

Legal business name

DUNN MEADOW LLC

Doing business as

Dunn Meadow Pharmacy

Practice address

1555 Center Ave
Suite B
Fort Lee, NJ 07024-4612

Phone

(201) 949-3400

Fax

(201) 949-3455

NPI assigned

Jan 6, 2016

Last updated

Mar 30, 2016By 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

Dan Weinstein

Title

Owner

Phone

(201) 676-3839

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dunn Meadow Pharmacy Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

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.

• Santos A. Camilo, R.PH

  • Pharmacist
  • Fort Lee, NJ
  • NPI 1457603029
  NPD (past)

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1508222696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 CENTER AVE",
            "address_2": "SUITE B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244612",
            "telephone_number": "201-949-3400",
            "fax_number": "201-949-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 CENTER AVE",
            "address_2": "SUITE B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244612",
            "telephone_number": "201-949-3400",
            "fax_number": "201-949-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN MEADOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-676-3839"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NJ",
            "license": "28RS00739400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunn Meadow Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic Pharmacy in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinic Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.