Cadc Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00704100 Issued in NJ

Legal business name

CADC PHARMACY INC

Doing business as

jefferson pharmacy

Practice address

706 Route 15S
Suite 104
Lake Hopatcong, NJ 07849

Phone

(973) 663-2560

Fax

(973) 663-2440

NPI assigned

Dec 6, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas Caballero

Title

Owner

Phone

(201) 264-6244

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• jefferson pharmacy Doing business as

Practitioners 1

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

• Carlos Almanza

  • Pharmacist
  • Lake Hopatcong, NJ
  • NPI 1942524798
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1760926026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ROUTE 15S",
            "address_2": "SUITE 104",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "07849",
            "telephone_number": "973-663-2560",
            "fax_number": "973-663-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 ROUTE 15S",
            "address_2": "SUITE 104",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "07849",
            "telephone_number": "973-663-2560",
            "fax_number": "973-663-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-264-6244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00704100",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166349",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "jefferson pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "jefferson pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharine J Audlin, O.D.
• Nicole Blackwell, DPT
• Julia Blohm
• Jean-Paul Bonnet, D.O.
• Kyle Henry Brockmann, LMT
• Patrick F Carillo, RPH
• Constantine Christodoulou, LCSW
• Michael Dominick Cibelli, PA-C
• Diana M Cipullo, PT, DPT
• Shaun Marie Colavita

• Pharmacy in Lake Hopatcong, NJ
• Providers in Lake Hopatcong, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.