Hunterdon Regional Pharmacy Inc

Key facts

NPI: 1760424428
Entity type: Organization (NPI type 2)
Primary specialty: Community/Retail Pharmacy 3336C0003X
License: 28RS00620500 (NJ)
Legal business name: HUNTERDON REGIONAL PHARMACY INC
Practice address: 2100 Wescott Dr
1St Floor
Flemington, NJ 08822-4603
Phone: (908) 788-6586
Fax: (908) 788-6587
NPI assigned: Jun 10, 2006
Organization subpart: No

Authorized official

Name: Dr. Charly I Nasser, PHARMD NPI 1790067734
Title: Pharmacy Manager
Phone: (732) 788-6586

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Charly I Nasser, PHARM D Pharmacist · Whitehouse Station, NJ · NPI 1790067734

NPD Authorized official

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Hunterdon Regional Pharmacy Inc. 2100 Wescott Dr, Flemington, NJ 08822-4603 · (908) 788-6586	Epoetin\|Immunosuppressive Drugs\|Nebulizer Drugs\|Oral Anticancer Drugs\|Oral Antiemetic Drugs	Accepts assignment Participating since Nov 4, 2016

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in NJ

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20160919002398	NJ	DME Supplier - Pharmacy	1456567114	Practice locations: Flemington, NJ
O20161216000728	NJ	Part B Supplier - Mass Immunization (Roster Biller Only)	1456567114	Practice locations: Flemington, NJ

National Provider Directory

Locations

2100 Wescott Dr
Fl 1
Flemington, NJ 08822
Phone (908) 788-6586

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacy	333600000X
Community/Retail Pharmacy	3336C0003X	28RS00620500	NJ	Yes
Compounding Pharmacy	3336C0004X

Addresses

Primary practice location

2100 Wescott Dr
1St Floor
Flemington, NJ 08822-4603

Mailing address

2100 Wescott Dr
1St Floor
Flemington, NJ 08822-4603
Phone (908) 788-6586

Other identifiers

Identifier	Type	State	Issuer
0040738	Medicaid	NJ
2055211	Other		PK

Other names

HUNTERDON REGIONAL PHARMACY INC Doing business as

Other providers in Flemington, NJ

All providers in Flemington, NJ · Community/Retail Pharmacy in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.