Organization Active NPI

Long Term Care RX LLC

  • Long Term Care Pharmacy
  • Westwood, NJ
National Provider Identifier
1548321615
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
28RS00598700 Issued in NJ
Legal business name
LONG TERM CARE RX LLC
Doing business as
Long Term Care RX LLC
Practice address
149 3Rd Ave
Westwood, NJ 07675-2142
Phone
(888) 858-6175
Fax
(888) 858-6176
NPI assigned
Dec 13, 2006
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
James Crimmins
Title
Owner Phcst
Phone
(888) 858-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 28RS00598700 NJ Primary

Addresses

Primary practice location

149 3Rd Ave
Westwood, NJ 07675-2142

Mailing address

149 3Rd Ave
Westwood, NJ 07675-2142
Phone (888) 858-6175

Other identifiers 2

IdentifierTypeStateIssuer
8528403MedicaidNJ
3106057OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • LONG TERM CARE RX LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1548321615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 3RD AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752142",
            "telephone_number": "888-858-6175",
            "fax_number": "888-858-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 3RD AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076752142",
            "telephone_number": "888-858-6175",
            "fax_number": "888-858-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "CRIMMINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER PHCST",
        "authorized_official_telephone_number": "888-858-6175"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NJ",
            "license": "28RS00598700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8528403",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3106057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG TERM CARE RX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.