Organization Active NPI

Pharma Tech Concepts LLC

  • Community/Retail Pharmacy
  • Hackettstown, NJ
National Provider Identifier
1710675228
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMA TECH CONCEPTS LLC
Practice address
1553 County Road 517
Hackettstown, NJ 07840-2708
Phone
(908) 852-8818
NPI assigned
Apr 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
CSC Services
Title
Registered Agent
Phone
(908) 852-8818

Specialties & licenses 1

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

Addresses

Primary practice location

1553 County Road 517
Hackettstown, NJ 07840-2708

Mailing address

PO Box 399
Allamuchy, NJ 07820-0399

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230815000073 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9739541343 Practice locations: Hackettstown, NJ
O20230913000812 NJ DME Supplier - Pharmacy 9739541343 Practice locations: Hackettstown, NJ

National Provider Directory

National Provider Directory
Tax ID family
Pharma Tech Concepts LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1553 County Road 517
Hackettstown, NJ 07840

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1710675228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "ALLAMUCHY",
            "state": "NJ",
            "postal_code": "078200399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 COUNTY ROAD 517",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402708",
            "telephone_number": "908-852-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA TECH CONCEPTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "SERVICES",
        "authorized_official_first_name": "CSC",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "908-852-8818"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.