Organization Active NPI

Long Term Care RX LLC

  • Community/Retail Pharmacy
  • Westwood, NJ
National Provider Identifier
1548406150
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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
Jan 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00598700 NJ Primary

Addresses

Primary practice location

149 3Rd Ave
Westwood, NJ 07675-2142

Mailing address

149 3Rd Ave
Westwood, NJ 07675-2142

Other identifiers 2

IdentifierTypeStateIssuer
8528406MedicaidNJ
3195535OtherNCPDP 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": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1548406150",
    "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"
        },
        {
            "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": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "CRIMMINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-858-6175"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00598700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8528406",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3195535",
            "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 Jan 2, 2009; 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.