Poets Pharmacy Corporation

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RS00573800 Issued in NJ

Legal business name

POETS PHARMACY CORPORATION

Practice address

460 County Road 520
Marlboro, NJ 07746-1041

Phone

(732) 946-9173

Fax

(732) 946-4194

NPI assigned

Nov 15, 2006

Last updated

Jun 27, 2008By 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

Mr. Eli Korn, RPH

Title

RPH Owner

Phone

(732) 946-9173

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1629140322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 COUNTY ROAD 520",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461041",
            "telephone_number": "732-946-9173",
            "fax_number": "732-946-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 COUNTY ROAD 520",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461041",
            "telephone_number": "732-946-9173",
            "fax_number": "732-946-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POETS PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "KORN",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "RPH OWNER",
        "authorized_official_telephone_number": "732-946-9173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00573800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8173010",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3129740",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Marlboro, NJ
• Providers in Marlboro, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.