Woodbine Pharmacy Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

28RS00276600 Issued in NJ

Legal business name

WOODBINE PHARMACY INC

Doing business as

Family Health and Presc Center

Practice address

621 Dehirsch Ave
Woodbine, NJ 08270-2338

Phone

(609) 861-5124

Fax

(609) 861-1248

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Charles Neff, RPH

Title

President

Phone

(609) 861-5124

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• FAMILY HEALTH AND PRESC CENTER Doing business as

Locations

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1508953704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082700438",
            "telephone_number": "609-861-1248",
            "fax_number": "609-861-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 DEHIRSCH AVE",
            "city": "WOODBINE",
            "state": "NJ",
            "postal_code": "082702338",
            "telephone_number": "609-861-5124",
            "fax_number": "609-861-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBINE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-861-5124",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NJ",
            "license": "28RS00276600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054686",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4306406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH AND PRESC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyisha Latora Wing
• Lauren Witkowsky, RN
• Woodbine Board of Education
• Woodbine Dental PA
• Woodbine Family Medical
• Kristin Zintner, RN

• Clinic Pharmacy in Woodbine, NJ
• Providers in Woodbine, 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 Feb 28, 2017; 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.