Organization Active NPI

Libbys Family Pharmacy

  • Community/Retail Pharmacy
  • Springfield, NJ
National Provider Identifier
1659483659
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LIBBYS FAMILY PHARMACY
Practice address
246 Mountain Ave
Springfield, NJ 07081-2215
Phone
(973) 912-9170
Fax
(973) 912-9170
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Richard Libby
Title
Owner
Phone
(973) 912-9199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RS00650700 NJ
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

246 Mountain Ave
Springfield, NJ 07081-2215

Mailing address

246 Mountain Ave
Springfield, NJ 07081-2215
Phone (973) 912-9170

Other identifiers 2

IdentifierTypeStateIssuer
3192907OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0080543MedicaidNJ

National Provider Directory

National Provider Directory

Locations

246 Mountain Ave
Springfield, NJ 07081
Phone (973) 912-9170

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1659483659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 MOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812215",
            "telephone_number": "973-912-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 MOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812215",
            "telephone_number": "973-912-9170",
            "fax_number": "973-912-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBBYS FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "LIBBY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-912-9199"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "RS00650700",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3192907",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080543",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.