Old Stone Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00734600 Issued in NJ

Legal business name

OLD STONE PHARMACY

Practice address

28 W Grand Ave
Suite 6
Montvale, NJ 07645-2100

Phone

(201) 746-4555

Fax

(201) 745-4989

NPI assigned

Jul 9, 2014

Organization subpart

No

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

Authorized official

Name

Tara Fricke

Title

Pharmacist

Phone

(201) 746-4555

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1528474665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W GRAND AVE",
            "address_2": "SUITE 6",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452100",
            "telephone_number": "201-746-4555",
            "fax_number": "201-745-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W GRAND AVE",
            "address_2": "SUITE 6",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452100",
            "telephone_number": "201-746-4555",
            "fax_number": "201-745-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD STONE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "FRICKE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "201-746-4555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00734600",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00734600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Montvale, NJ
• Providers in Montvale, 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 Jul 24, 2014; 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.