Organization Active NPI

Perkins Union Center Pharmacy

Doing business as Perkins Pharmacy

  • Community/Retail Pharmacy
  • Union, NJ
National Provider Identifier
1720110448
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00121300 Issued in NJ
Legal business name
PERKINS UNION CENTER PHARMACY
Doing business as
Perkins Pharmacy
Practice address
1023 Stuyvesant Ave
Union, NJ 07083
Phone
(908) 686-0876
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mr. Allen Charles Hodapp, PHARMACIST
Title
Owner Pharmacist
Phone
(908) 686-0876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00121300 NJ Primary

Addresses

Primary practice location

1023 Stuyvesant Ave
Union, NJ 07083

Mailing address

1023 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-0876

Other identifiers 2

IdentifierTypeStateIssuer
3116161OtherNABP
4270801MedicaidNJ

Other names 1

  • Perkins Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1023 Stuyvesant Ave
Union, NJ 07083
Phone (908) 686-0876

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1720110448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 STUYVESANT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-686-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 STUYVESANT AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-686-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS UNION CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HODAPP",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "908-686-0876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00121300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3116161",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4270801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perkins Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.