Active NPI
Quick Med Pharmacy
- Community/Retail Pharmacy
- Asbury Park, NJ
National Provider Identifier
1639507767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- QUICK MED PHARMACY
- Practice address
- 1221 Main St
Asbury Park, NJ 07712-5940 - Phone
- (732) 692-7986
- Fax
- (732) 897-1515
- NPI assigned
- Oct 29, 2013
- 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
- Mr. Kiran Venigalla, RPH
- Title
- Pharmacist
- Phone
- (732) 692-7986
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NJ | Primary | |
| Specialty Pharmacy | 3336S0011X | NJ |
Addresses
Primary practice location
1221 Main St
Asbury Park, NJ 07712-5940
Mailing address
1221 Main St
Asbury Park, NJ 07712-5940
Phone (732) 692-7986
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7045600001 | Other | MEDICARE PTAN | |
| 0419842 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140407000769 | NJ | DME Supplier - Pharmacy | 0446482483 | Practice locations: Asbury Park, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Quick Med Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Asbury Park, NJ
- NPI 1285449587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738972800000",
"number": "1639507767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 MAIN ST",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077125940",
"telephone_number": "732-692-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 MAIN ST",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077125940",
"telephone_number": "732-692-7986",
"fax_number": "732-897-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUICK MED PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2025-02-08",
"certification_date": "2025-02-08",
"status": "A",
"authorized_official_last_name": "VENIGALLA",
"authorized_official_first_name": "KIRAN",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "732-692-7986",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "7045600001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0419842",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asbury Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.