Mercerville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00746100 Issued in NJ

Legal business name

MERCERVILLE PHARMACY LLC

Practice address

2103 Whitehorse Mercerville Rd
Mercerville, NJ 08619-2641

Phone

(609) 981-7555

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Rima Padia

Title

Pharmacist Incharge

Phone

(609) 981-7555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mercerville Family Pharmacy Doing business as

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1730544255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 WHITEHORSE MERCERVILLE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192641",
            "telephone_number": "609-981-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 WHITEHORSE MERCERVILLE RD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086192641",
            "telephone_number": "609-981-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCERVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "PADIA",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "PHARMACIST INCHARGE",
        "authorized_official_telephone_number": "609-981-7555"
    },
    "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": "28RS00746100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercerville Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suja John Mathai, M.D
• Devon Lee Mazzanti
• Lorraine Margaret McGrath
• Mercerville Family Dental
• Mercerville Medical Assoc PC
• New Jersey Surgery Center LLC
• NJ DHS Division of Aging Services
• Northland Hearing Center, Inc.
• Nottingham Animal Hospital
• Gerald Novik, M.D.

• Community/Retail Pharmacy in Mercerville, NJ
• Providers in Mercerville, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.