Active NPI
Royal Plaza Drug LLC
- Community/Retail Pharmacy
- Fort Lee, NJ
National Provider Identifier
1700375292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ROYAL PLAZA DRUG LLC
- Practice address
- 1424 Bergen Blvd
Fort Lee, NJ 07024-2116 - Phone
- (201) 482-0801
- Fax
- (201) 331-1444
- NPI assigned
- May 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jungjik Lee
- Title
- President
- Phone
- (917) 828-1989
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1424 Bergen Blvd
Fort Lee, NJ 07024-2116
Mailing address
1424 Bergen Blvd
Fort Lee, NJ 07024-2116
Phone (201) 482-0801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177654 | Other | PK |
Other names 1
- ROYAL PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180731000080 | NJ | Part B Supplier - Pharmacy | 8921356593 | Practice locations: Fort Lee, NJ |
| O20190208002374 | NJ | DME Supplier - Pharmacy | 8921356593 | Practice locations: Fort Lee, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Royal Pharmacy | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Tracheotomy Supplies|Surgical Dr… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1424 Bergen Blvd
Fort Lee, NJ 07024
Phone (201) 482-0801
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Parsippany, NJ
- NPI 1962026922
-
- Pharmacist
- Fort Lee, NJ
- NPI 1619729878
-
- Pharmacist
- Fort Lee, NJ
- NPI 1326522145
-
- Pharmacist
- Fort Lee, NJ
- NPI 1952003758
-
- Pharmacist
- Fort Lee, NJ
- NPI 1164127577
-
- Pharmacist
- Lawrenceville, NJ
- NPI 1205302221
-
- Pharmacist
- New York, NY
- NPI 1679069397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653955200000",
"number": "1700375292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 BERGEN BLVD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242116",
"telephone_number": "201-482-0801",
"fax_number": "201-331-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 BERGEN BLVD",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070242116",
"telephone_number": "201-482-0801",
"fax_number": "201-331-1444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL PLAZA DRUG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-09",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JUNGJIK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-828-1989"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"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": "PK",
"identifier": "2177654",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROYAL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.