Organization Active NPI

RX Team Inc

  • Community/Retail Pharmacy
  • Livingston, NJ
National Provider Identifier
1699010785
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00723200 Issued in NJ
Legal business name
RX TEAM INC
Practice address
91 E Mount Pleasant Ave
Livingston, NJ 07039-3005
Phone
(973) 597-1200
Fax
(973) 597-1201
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Mrs. Rebecca RuditserNPI 1598345381
Title
President
Phone
(973) 597-1200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00723200 NJ Primary

Addresses

Primary practice location

91 E Mount Pleasant Ave
Livingston, NJ 07039-3005

Mailing address

91 E Mount Pleasant Ave
Livingston, NJ 07039-3005
Phone (973) 597-1200

Other identifiers 1

IdentifierTypeStateIssuer
0366145MedicaidNJ

Other names 1

  • Livingston Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130429000237 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1557506557 Practice locations: Livingston, NJ

National Provider Directory

National Provider Directory

Locations

91 E Mount Pleasant Ave
Livingston, NJ 07039
Phone (973) 597-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1699010785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393005",
            "telephone_number": "973-597-1200",
            "fax_number": "973-597-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393005",
            "telephone_number": "973-597-1200",
            "fax_number": "973-597-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX TEAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "RUDITSER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-597-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00723200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0366145",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.

Verify at the official NPI Registry.