NPIMap

Organization Active NPI

Integrated Medication Management

Doing business as BAYADA Pharmacy

  • Long Term Care Pharmacy
  • Mount Laurel, NJ
National Provider Identifier
1518517085
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
INTEGRATED MEDICATION MANAGEMENT
Doing business as
BAYADA Pharmacy
Practice address
136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725
Phone
(856) 380-1828
NPI assigned
Sep 17, 2019
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Betty Ngo
Title
SVP Operations
Phone
(856) 380-1828

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725

Mailing address

136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725
Phone (856) 380-1828

Other names 1

  • BAYADA Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayada Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

101 Executive Dr
Ste 9
Moorestown, NJ 08057
Phone (856) 793-1754

136 Gaither Dr
Ste 120
Mount Laurel, NJ 08054
Phone (856) 380-1828

Practitioners & affiliated clinicians

Practitioners 6

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": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1518517085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 GAITHER DR STE 120",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541725",
            "telephone_number": "856-380-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 GAITHER DR STE 120",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541725",
            "telephone_number": "856-380-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICATION MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "856-380-1828"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYADA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYADA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.