Active NPI
Witz End Freedom Pharmacy
- Long Term Care Pharmacy
- Randolph, NJ
National Provider Identifier
1760053375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- WITZ END FREEDOM PHARMACY
- Practice address
- 1248 Sussex Turnpike
Unit B9
Randolph, NJ 07869-2908 - Phone
- (862) 324-4807
- NPI assigned
- Jul 6, 2021
- 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
- Linda M Witzal, RPH
- Title
- President
- Phone
- (862) 324-4807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1248 Sussex Turnpike
Unit B9
Randolph, NJ 07869-2908
Mailing address
1248 Sussex Turnpike
B9
Randolph, NJ 07869-2908
Phone (862) 324-4807
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | pharmacy |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220113002243 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 0446649636 | Practice locations: Randolph, NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640995200000",
"number": "1760053375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 SUSSEX TURNPIKE",
"address_2": "B9",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692908",
"telephone_number": "862-324-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 SUSSEX TURNPIKE",
"address_2": "UNIT B9",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692908",
"telephone_number": "862-324-4807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WITZ END FREEDOM PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-06",
"last_updated": "2022-01-01",
"certification_date": "2022-01-01",
"status": "A",
"authorized_official_last_name": "WITZAL",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "862-324-4807",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "pharmacy",
"affiliation": "N",
"address_1": "1248 Sussex Tpke Unit B9",
"city": "Mount Freedom",
"state": "NJ",
"country_code": "US",
"postal_code": "079709001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Randolph, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; 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.