Organization Active NPI

Witz End Freedom Pharmacy

  • Long Term Care Pharmacy
  • Randolph, NJ
National Provider Identifier
1760053375
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
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

Updated by the provider on Jan 1, 2022

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL pharmacy

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220113002243 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 0446649636 Practice locations: Randolph, NJ

National Provider Directory

National Provider Directory

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.

Verify at the official NPI Registry.