NPIMap

Organization Active NPI

Modern RX Limited Liability Company

  • Community/Retail Pharmacy
  • Brick, NJ
National Provider Identifier
1669902102
Registry record updated Jun 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00756700 Issued in NJ
Legal business name
MODERN RX LIMITED LIABILITY COMPANY
Practice address
56 Chambers Bridge Rd Ste 8
Brick, NJ 08723-4148
Phone
(732) 475-7593
Fax
(732) 903-7402
NPI assigned
Jun 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2017

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

Authorized official

Name
Klara ReizisNPI 1972915445
Title
Owner
Phone
(201) 420-9000

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 28RS00756700 NJ Primary

Addresses

Primary practice location

56 Chambers Bridge Rd Ste 8
Brick, NJ 08723-4148

Mailing address

56 Chambersbridge Road Suite 8
Brick, NJ 08723
Phone (732) 475-7593

Other identifiers 1

IdentifierTypeStateIssuer
2169830OtherPK

Other names 1

  • Modern Medicine Rx Doing business as

National Provider Directory

National Provider Directory

Locations

56 Chambers Bridge Rd
Ste 8
Brick, NJ 08723
Phone (732) 475-7593

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497744000000",
    "number": "1669902102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CHAMBERSBRIDGE ROAD SUITE 8",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08723",
            "telephone_number": "732-475-7593",
            "fax_number": "732-903-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CHAMBERS BRIDGE RD STE 8",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234148",
            "telephone_number": "732-475-7593",
            "fax_number": "732-903-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RX LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-18",
        "last_updated": "2017-06-18",
        "status": "A",
        "authorized_official_last_name": "REIZIS",
        "authorized_official_first_name": "KLARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-420-9000"
    },
    "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": "28RS00756700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2169830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Medicine Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modern Medicine Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; 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.