LB Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00421400 Issued in NJ

Legal business name

LB PHARMACY INC

Doing business as

Kay Pharmacy

Practice address

448 Chamberlain Ave
Paterson, NJ 07522-1009

Phone

(973) 942-8296

Fax

(973) 942-1213

NPI assigned

Feb 18, 2007

Last updated

Dec 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prakash Maddali

Title

Officer

Phone

(973) 441-8470

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kay 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, and the practitioner matching its NPPES authorized official.

• Vamsi K Kolli

  • Pharmacist
  • Jersey City, NJ
  • NPI 1285906834
  NPD

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1609910017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 CHAMBERLAIN AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221009",
            "telephone_number": "973-942-8296",
            "fax_number": "973-942-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 CHAMBERLAIN AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221009",
            "telephone_number": "973-942-8296",
            "fax_number": "973-942-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LB PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "973-441-8470"
    },
    "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": "28RS00421400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shacambri Lawson
• Jessica Lazaro, AGNP-C
• Ivona Lazarovska, LSW
• Zachary L Lazev, DO
• Fernando A Lazo, D.C
• Ivette Lebron, REGISTERED DIETITIAN
• Gaeun Lee, D.M.D.
• Latrece Lee
• Yeonseung Lee, M.D.
• Dorina Leibu, M.D.

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, 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 Dec 21, 2016; 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.