Penlar Health Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PENLAR HEALTH PHARMACY LLC

Doing business as

Penlar Pharmacy

Practice address

160 Lawrenceville Pennington Rd
Lawrenceville, NJ 08648-1470

Phone

(609) 895-0444

NPI assigned

May 22, 2023

Organization subpart

No

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

Authorized official

Name

Ikram Khaliq

Title

President

Phone

(609) 635-7265

Specialties & licenses 1

Addresses

Other names 1

• Penlar Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Tax ID family

Penlar Health Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Penlar Health Pharmacy LLC

  • Long Term Care Pharmacy
  • Lawrenceville, NJ
  • NPI 1023970381
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Solus Pharmacy LLC

  dba Solus Pharmacy

  • Community/Retail Pharmacy
  • Laurel Springs, NJ
  • NPI 1851775688

  Member Of

  NPD member

Practitioners 1

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

• Hetal Desai, RPH

  • Pharmacist
  • Trenton, NJ
  • NPI 1457597460
  NPD

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1598457350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LAWRENCEVILLE PENNINGTON RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LAWRENCEVILLE PENNINGTON RD",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481470",
            "telephone_number": "609-895-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENLAR HEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "KHALIQ",
        "authorized_official_first_name": "IKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-635-7265"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penlar Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penlar Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne M Pawelko, MS
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• Pediatric Therapy Solutions, LLC
• Penlar Health Pharmacy LLC
• Penlar Pharmacy Inc (Penlar Pharmacy)
• Pennreach
• Michael Perl, AUD
• Stefanie Perle, AUD
• Anita Kamal Persaud, DNP, CPNP

• Pharmacy in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Pharmacy in New Jersey

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