Organization Active NPI

Colts Neck Family Drugs Inc

Doing business as Family Pharmacy on 34

  • Community/Retail Pharmacy
  • Colts Neck, NJ
National Provider Identifier
1568521565
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00666300 Issued in NJ
Legal business name
COLTS NECK FAMILY DRUGS INC
Doing business as
Family Pharmacy on 34
Practice address
293 RT 34
Suite 201
Colts Neck, NJ 07722
Phone
(732) 677-3380
Fax
(732) 677-3382
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Elizabeth MastrokostasNPI 1710285317
Title
President
Phone
(732) 677-3380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00666300 NJ Primary

Addresses

Primary practice location

293 RT 34
Suite 201
Colts Neck, NJ 07722

Mailing address

11 Equinox LN
Freehold, NJ 07728-8652
Phone (732) 252-5615

Other identifiers 1

IdentifierTypeStateIssuer
3194064OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FAMILY PHARMACY ON 34 Doing business as

National Provider Directory

National Provider Directory

Locations

293 State Route 34
Ste 201
Colts Neck, NJ 07722
Phone (732) 677-3380

Practitioners & affiliated clinicians

Practitioners 1

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1568521565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EQUINOX LN",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288652",
            "telephone_number": "732-252-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 RT 34",
            "address_2": "SUITE 201",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "07722",
            "telephone_number": "732-677-3380",
            "fax_number": "732-677-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLTS NECK FAMILY DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "MASTROKOSTAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-677-3380"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00666300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3194064",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY ON 34",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colts Neck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.