Active NPI
Iron Bridge Apothecary LLC
- Community/Retail Pharmacy
- Freehold, NJ
National Provider Identifier
1750070645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- IRON BRIDGE APOTHECARY LLC
- Practice address
- 515 Iron Bridge Rd
Suite #1
Freehold, NJ 07728 - Phone
- (732) 252-6455
- Fax
- (848) 444-9497
- NPI assigned
- May 5, 2023
- 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
- Dr. Mitesh Rajendra Patel, PHARMD.
- Title
- Pharmacist in Charge
- Phone
- (732) 252-6455
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
515 Iron Bridge Rd
Suite #1
Freehold, NJ 07728
Mailing address
515 Iron Bridge Rd
Suite #1
Freehold, NJ 07728
Phone (732) 252-6455
Other names 1
- IRON BRIDGE APOTHECARY
National Provider Directory
National Provider Directory- Tax ID family
- Iron Bridge Apothecary
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Compounding Pharmacy
- Freehold, NJ
- NPI 1245951698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1750070645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 IRON BRIDGE RD",
"address_2": "SUITE #1",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-252-6455",
"fax_number": "848-444-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 IRON BRIDGE RD",
"address_2": "SUITE #1",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "07728",
"telephone_number": "732-252-6455",
"fax_number": "848-444-9497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRON BRIDGE APOTHECARY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MITESH",
"authorized_official_middle_name": "RAJENDRA",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "732-252-6455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD."
},
"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": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IRON BRIDGE APOTHECARY",
"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 May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.