Active NPI
Abs Pharmacy LLC
Doing business as Risoldis Pharmacy
- Community/Retail Pharmacy
- Mercerville, NJ
National Provider Identifier
1720215874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00693600
- Legal business name
- ABS PHARMACY LLC
- Doing business as
- Risoldis Pharmacy
- Practice address
- 3100 Quakerbridge Rd
Mercerville, NJ 08619-1658 - Phone
- (609) 588-5445
- Fax
- (609) 588-6844
- NPI assigned
- Jun 16, 2009
- 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
- Amar Patel
- Title
- Owner
- Phone
- (609) 588-5445
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00693600 | NJ | Primary |
Addresses
Primary practice location
3100 Quakerbridge Rd
Mercerville, NJ 08619-1658
Mailing address
3100 Quakerbridge Rd
Mercerville, NJ 08619-1658
Phone (609) 588-5445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2128014 | Other | PK |
Other names 1
- RISOLDIS PHARMACY
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2241186 | Abs Pharmacy LLC Dba Clover Pharmacy | Certificate of waiver | Oct 25, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Abs Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Mercerville, NJ
- NPI 1083914469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492992000000",
"number": "1720215874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 QUAKERBRIDGE RD",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191658",
"telephone_number": "609-588-5445",
"fax_number": "609-588-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 QUAKERBRIDGE RD",
"city": "MERCERVILLE",
"state": "NJ",
"postal_code": "086191658",
"telephone_number": "609-588-5445",
"fax_number": "609-588-6844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABS PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-16",
"last_updated": "2017-04-24",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "AMAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-588-5445"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00693600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2128014",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RISOLDIS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mercerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.