Bricktowne Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BRICKTOWNE PHARMACY LLC

Practice address

2791 Hooper Ave
Store #105
Brick, NJ 08723

Phone

(848) 241-9971

Fax

(848) 241-9970

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kalu Ude Ndukwe, RPH

Title

Pharmacist

Phone

(732) 604-5576

Specialties & licenses 1

Addresses

Other names 1

• Personal Touch Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ezinne Oji

  • Pharmacist
  • Lanoka Harbor, NJ
  • NPI 1982546594
  NPD

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1578059283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 JACKS WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "848-241-9971",
            "fax_number": "848-241-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 HOOPER AVE",
            "address_2": "STORE #105",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723",
            "telephone_number": "848-241-9971",
            "fax_number": "848-241-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICKTOWNE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "NDUKWE",
        "authorized_official_first_name": "KALU",
        "authorized_official_middle_name": "UDE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "732-604-5576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Touch Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brick Senior Care, LLC
• Brick Township Endodontics LLC
• Brick Women'S Physicians
• Brick Xray LLC
• Bricktown Medical Group PA
• Bridges Behavioral Health Care
• Brielle Orthopedics PA
• Robbie Ann Bright-Poole, MS CCCA
• Brigitte Soltesz, D.C.,P.C.
• Danielle Britton, DC

• Community/Retail Pharmacy in Brick, NJ
• Providers in Brick, 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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.