NPIMap

Organization Active NPI

Specialty Script Freehold LLC

Doing business as Centrastate specialty script

  • Community/Retail Pharmacy
  • Freehold, NJ
National Provider Identifier
1710425566
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SPECIALTY SCRIPT FREEHOLD LLC
Doing business as
Centrastate specialty script
Practice address
901 W Main St
Suite # 162
Freehold, NJ 07728-2537
Phone
(732) 414-1977
Fax
(732) 414-1980
NPI assigned
Feb 1, 2017
Last updated
Feb 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Authorized official

Name
Mrs. Sandhya Rani Kantamaneni, M.S
Title
Member/Pharmacist
Phone
(732) 414-1977

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

901 W Main St
Suite # 162
Freehold, NJ 07728-2537

Mailing address

901 W Main St
Suite # 162
Freehold, NJ 07728-2537
Phone (732) 414-1977

Other identifiers 1

IdentifierTypeStateIssuer
28RS00698600OtherNJNJ STATE LICENSE #

Other names 1

  • Centrastate specialty script Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485907200000",
    "number": "1710425566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "SUITE # 162",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-414-1977",
            "fax_number": "732-414-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "SUITE # 162",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-414-1977",
            "fax_number": "732-414-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SCRIPT FREEHOLD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A",
        "authorized_official_last_name": "KANTAMANENI",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_middle_name": "RANI",
        "authorized_official_title_or_position": "MEMBER/PHARMACIST",
        "authorized_official_telephone_number": "732-414-1977",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE #",
            "identifier": "28RS00698600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centrastate specialty script",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.