Organization Active NPI

Carp888

Doing business as LG Pharmacy

  • Community/Retail Pharmacy
  • Edison, NJ
National Provider Identifier
1790203040
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CARP888
Doing business as
LG Pharmacy
Practice address
244 Plainfield Ave
Edison, NJ 08817-3739
Phone
(732) 354-3777
NPI assigned
Sep 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Christine Eo, PHARM.DNPI 1700543121
Title
Owner/ Pharmacist in Charge
Phone
(732) 354-3777

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

244 Plainfield Ave
Edison, NJ 08817-3739

Mailing address

244 Plainfield Ave
Edison, NJ 08817-3739
Phone (732) 354-3777

Other names 1

  • LG Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171025002907 NJ Part B Supplier - Pharmacy 7416223052 Practice locations: Edison, NJ
O20201110001407 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7416223052 Practice locations: Edison, NJ

National Provider Directory

National Provider Directory

Locations

244 Plainfield Ave
Edison, NJ 08817
Phone (732) 354-3777

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790203040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173739",
            "telephone_number": "732-354-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173739",
            "telephone_number": "732-354-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARP888",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "732-354-3777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LG Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.