Active NPI
NPC Pharma LLC
- Long Term Care Pharmacy
- Elizabeth, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- NPC PHARMA LLC
- Doing business as
- ELIZABETH PHARMACY LTC
- Practice address
- 1164 E Jersey St
Elizabeth, NJ 07201-2311 - Phone
- (908) 994-1525
- Fax
- (908) 994-1508
- NPI assigned
- May 22, 2026
- Organization subpart
- Yes
- Parent organization
- NPC PHARMA LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Modzelewski
- Title
- Supervising Pharmacist/Member
- Phone
- (908) 994-1525
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1164 E Jersey St
Elizabeth, NJ 07201-2311
Mailing address
1164 E Jersey St
Elizabeth, NJ 07201-2311
Phone (908) 994-1525
Other names 1
- ELIZABETH PHARMACY LTC
National Provider Directory
National Provider Directory- Tax ID family
- NPC Pharma LLC
- Part of
- NPC Pharma LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Elizabeth, NJ
- NPI 1811882038
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Elizabeth, NJ
- NPI 1811882038
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Elizabeth, NJ
- NPI 1245360064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779408000000",
"number": "1609706456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 E JERSEY ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012311",
"telephone_number": "908-994-1525",
"fax_number": "908-994-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 E JERSEY ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012311",
"telephone_number": "908-994-1525",
"fax_number": "908-994-1508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NPC PHARMA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NPC PHARMA LLC",
"enumeration_date": "2026-05-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "MODZELEWSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "SUPERVISING PHARMACIST/MEMBER",
"authorized_official_telephone_number": "908-994-1525"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELIZABETH PHARMACY LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.