Morristown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00642100 Issued in NJ

Legal business name

MORRISTOWN PHARMACY LLC

Doing business as

MOLNAR PHARMACY

Practice address

76 Morris St
Morristown, NJ 07960-4182

Phone

(973) 538-5053

Fax

(973) 538-5281

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Raju V Penematcha

Title

President

Phone

(732) 619-3164

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MOLNAR PHARMACY Doing business as

Tax ID family

Molnar Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Raju and Gadiraju, Inc

  • Durable Medical Equipment & Medical Supplies
  • Morristown, NJ
  • NPI 1831325877
  NPD tax ID

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1518079516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MORRIS ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MORRIS ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604182",
            "telephone_number": "973-538-5053",
            "fax_number": "973-538-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISTOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "PENEMATCHA",
        "authorized_official_first_name": "RAJU",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-619-3164"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00642100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3111957",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062855",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOLNAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morristown Oral & Maxillofacial Surgery Associates
• Morristown Oral Surgery & Implantology Associates LLC
• Morristown Otolaryngology Group, LLC
• Morristown Pathology Associates, PA
• Morristown Pediatric Associates, LLC
• Morristown Post Acute Rehabilitation and Nursing Center
• Morristown Postpartum
• Morristown RX LLC
• Morristown Surgical Ctr. @ Madison Ave. LLC
• Morristown TMS LLC

• Community/Retail Pharmacy in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.