Active NPI
Twin City Pharmacy Inc
Doing business as Twin City Pharmacy
- Community/Retail Pharmacy
- South Plainfield, NJ
National Provider Identifier
1629007745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00669100
- Legal business name
- TWIN CITY PHARMACY INC
- Doing business as
- Twin City Pharmacy
- Practice address
- 1708 Park Ave
South Plainfield, NJ 07080-5519 - Phone
- (908) 755-7696
- Fax
- (908) 755-6003
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Ashnault, RPH
- Title
- Owner/Pic
- Phone
- (908) 755-7696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00669100 | NJ | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
1708 Park Ave
South Plainfield, NJ 07080-5519
Mailing address
1708 Park Ave
South Plainfield, NJ 07080-5519
Phone (908) 755-7696
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0132977 | Medicaid | NJ | |
| 0132993 | Medicaid | NJ | |
| 2056495 | Other | PK |
Other names 1
- TWIN CITY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090819000069 | NJ | Part B Supplier - Pharmacy | 2466506985 | Practice locations: South Plainfield, NJ |
| O20100930076811 | NJ | DME Supplier - Pharmacy | 2466506985 | Practice locations: South Plainfield, NJ |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- South Plainfield, NJ
- NPI 1720293350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404259200000",
"number": "1629007745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805519",
"telephone_number": "908-755-7696",
"fax_number": "908-755-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 PARK AVE",
"city": "SOUTH PLAINFIELD",
"state": "NJ",
"postal_code": "070805519",
"telephone_number": "908-755-7696",
"fax_number": "908-755-6003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN CITY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2014-07-02",
"status": "A",
"authorized_official_last_name": "ASHNAULT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "908-755-7696",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00669100",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0132977",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0132993",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2056495",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TWIN CITY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Plainfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.