Organization Active NPI

Royal Plaza Drug LLC

  • Community/Retail Pharmacy
  • Fort Lee, NJ
National Provider Identifier
1700375292
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on May 31, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2177654OtherPK

Other names 1

  • ROYAL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Royal Pharmacy1424 Bergen Blvd, Fort Lee, NJ 07024-2116(201) 482-0801 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 assignmentParticipating since Jun 8, 2018

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.