Station Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00703500 Issued in NJ

Legal business name

STATION PHARMACY LLC

Doing business as

Bound Brook Pharmacy

Practice address

303 E Main St
Bound Brook, NJ 08805-2096

Phone

(732) 369-6081

Fax

(732) 667-5350

NPI assigned

Aug 3, 2010

Last updated

Aug 5, 2010By 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

Steven Diaz, R.PH.NPI 1598085573

Title

Pharmacist in Charge

Phone

(732) 369-6081

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bound Brook Pharmacy Doing business as

Practitioners 1

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.

• Steven Diaz, R.PH.

  • Pharmacist
  • Bound Brook, NJ
  • NPI 1598085573
  NPD (past) Authorized official

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1679887566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052096",
            "telephone_number": "732-369-6081",
            "fax_number": "732-667-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088052096",
            "telephone_number": "732-369-6081",
            "fax_number": "732-667-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATION PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "732-369-6081",
        "authorized_official_credential": "R.PH."
    },
    "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": "28RS00703500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3197159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bound Brook Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Smith
• Renee A Smythe, LCSW
• Douglas Soden, MD
• Somerset Prosthetics and Orthotics Inc
• Special Abilities Global Network
• Zora Stefanovski, D.M.D
• Mia Tanya Stula Kellam, LAC
• Lynn S Taylor, LSW
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Get Well Center, PC

• Community/Retail Pharmacy in Bound Brook, NJ
• Providers in Bound Brook, NJ by specialty
• Community/Retail Pharmacy in New Jersey

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