Organization Active NPI

Pharmacy Town LLC

  • Community/Retail Pharmacy
  • Ocean, NJ
National Provider Identifier
1790242428
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PHARMACY TOWN LLC
Practice address
1590 Highway 35
Ocean, NJ 07712-3521
Phone
(732) 493-5100
Fax
(732) 493-5103
NPI assigned
Feb 28, 2019
Last updated
Nov 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Dr. Dev Tailor, PHARM DNPI 1902298045
Title
Pharmacist in Charge
Phone
(973) 931-1018

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 NU Primary

Addresses

Primary practice location

1590 Highway 35
Ocean, NJ 07712-3521

Mailing address

1590 Highway 35
Ocean, NJ 07712-3521
Phone (973) 931-1018

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190711002215 NJ Part B Supplier - Pharmacy 8022341692 Practice locations: Ocean, NJ
O20191004000335 NJ DME Supplier - Pharmacy 8022341692 Practice locations: Ocean, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pharmacy Town LLC1590 Highway 35, Ocean, NJ 07712-3521(973) 931-1018 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 15, 2019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1790242428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 HIGHWAY 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123521",
            "telephone_number": "973-931-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 HIGHWAY 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123521",
            "telephone_number": "732-493-5100",
            "fax_number": "732-493-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY TOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "TAILOR",
        "authorized_official_first_name": "DEV",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "973-931-1018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (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.