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
- Last updated
- Jan 1, 2022
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Randolph, NJ
- NPI 1952649634
NPI 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.