Organization Active NPI

Jefferson Drugs LLC

Doing business as jeffeson pharmacy

  • Community/Retail Pharmacy
  • Lake Hopatcong, NJ
National Provider Identifier
1629399043
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RS00644500 Issued in NJ
Legal business name
JEFFERSON DRUGS LLC
Doing business as
jeffeson pharmacy
Practice address
706 RT 15 South
Ste 104
Lake Hopatcong, NJ 07849
Phone
(973) 663-2550
Fax
(973) 663-2440
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Carlos AlmanzaNPI 1942524798
Title
President
Phone
(201) 803-5838

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RS00644500 NJ Primary

Addresses

Primary practice location

706 RT 15 South
Ste 104
Lake Hopatcong, NJ 07849

Mailing address

706 RT 15 South
Ste 104
Lake Hopatcong, NJ 07849
Phone (973) 663-2550

Other identifiers 1

IdentifierTypeStateIssuer
3196993OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • jeffeson pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

706 State Route 15 S
Lake Hopatcong, NJ 07849
Phone (973) 663-2550

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1629399043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 RT 15 SOUTH",
            "address_2": "STE 104",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "07849",
            "telephone_number": "973-663-2550",
            "fax_number": "973-663-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RT 15 SOUTH",
            "address_2": "STE 104",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "07849",
            "telephone_number": "973-663-2550",
            "fax_number": "973-663-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "ALMANZA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-803-5838"
    },
    "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": "RS00644500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3196993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jeffeson pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Hopatcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.