Haddon Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00365200 Issued in NJ

Legal business name

HADDON PHARMACY INC

Doing business as

Haddon Pharmacy

Practice address

330 Haddon Ave
Collingswood, NJ 08108-1241

Phone

(856) 854-5655

Fax

(856) 854-5059

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Phillip Gallo

Title

Owner

Phone

(856) 854-5655

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HADDON PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1558303172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081241",
            "telephone_number": "856-854-5655",
            "fax_number": "856-854-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081241",
            "telephone_number": "856-854-5655",
            "fax_number": "856-854-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-854-5655"
    },
    "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": "28RS00365200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2058050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HADDON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Terese Goldner, LPC
• Arthur Meyer Goldstein, M.D.
• Saige Ovain Gomez, DPT
• Allyson Graves, MA, LPC, ATR-BC
• Gabriel L Guerrieri, LPC
• Jonathan Hannum, MSED, LPC
• Erin Hart, MA, CCC-SLP
• Kelsey Hart, LSW
• Gertrude P Hastings, PTA
• Healthy You Endocrinology and Weight Loss LLC (Healthy You Endocrinology and Weight Loss)

• Community/Retail Pharmacy in Collingswood, NJ
• Providers in Collingswood, 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 17, 2015; 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.