D & N Corporation
Organization Active NPI Community/Retail Pharmacy · Orange, NJ
NPI 1780778191 · NPPES record last updated Nov 2, 2016
Key facts
- NPI
- 1780778191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 28RS00659100 (NJ)
- Legal business name
- D & N CORPORATION
- Practice address
- 314 Main St
Orange, NJ 07050-3613 - Phone
- (973) 676-0866
- Fax
- (973) 676-2377
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- David Sung
- Title
- President
- Phone
- (973) 676-0866
Corporate family (same tax ID) 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040804 | NJ | DME Supplier - Pharmacy |
4183745813 | Practice locations: Orange, NJ |
| O20130917000533 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 4183745813 | Practice locations: Orange, NJ |
National Provider Directory
- Tax ID family
- D N Corporation
Locations
314 Main St
Orange, NJ 07050
Phone (973) 676-0866
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00659100 | NJ | Yes |
Addresses
Primary practice location
314 Main St
Orange, NJ 07050-3613
Mailing address
314 Main St
Orange, NJ 07050-3613
Phone (973) 676-0866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4535308 | Medicaid | NJ | |
| 2051928 | Other | PK | |
| 0102032 | Medicaid | NJ |
Other names
- VALUE MART PHARMACY
Other providers in Orange, NJ
- Climax Carriers LLC
- Yvard Compere
- Akilah Crawford
- Cross Counter, Inc
- Abriel Brittney Culver
- D & N Corporation
- Dacosta Medical Group LLC
- Theodore A Dacosta Jr.
- Deidre Dann
- Esther David
All providers in Orange, 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 Nov 2, 2016. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.