Micrimar Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00288000 Issued in NJ

Legal business name

MICRIMAR INC

Doing business as

Lincoln Drug Company

Practice address

221 S Broadway
Camden, NJ 08103-1287

Phone

(856) 365-3400

Fax

(610) 668-1077

NPI assigned

Nov 15, 2006

Last updated

Feb 8, 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

Carl Viola, RPH

Title

President

Phone

(856) 365-3400

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• LINCOLN DRUG COMPANY Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1659444297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 BRYN MAWR AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190721402",
            "telephone_number": "856-365-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S BROADWAY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031287",
            "telephone_number": "856-365-3400",
            "fax_number": "610-668-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICRIMAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "VIOLA",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-365-3400",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00288000",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3107439",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4322908",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2448408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINCOLN DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Ann Micallef, M.D.
• Ashley Michael, DO
• Lindsay Eileen Michel, DO
• Mark Michetti
• Molly Christine Mickle, RD
• Micrimar Inc (Plaza Pharmacy)
• Mid-Atlantic Anesthesia Associate
• Mid-Atlantic Anesthesia Associates PA
• Ryan Middleton, MD
• Ronald Miick, MD

• Pharmacy in Camden, NJ
• Providers in Camden, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.