Active NPI
Bop RX Inc
Doing business as Black Oak Pharmacy
- Community/Retail Pharmacy
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00759100
- Legal business name
- BOP RX INC
- Doing business as
- Black Oak Pharmacy
- Practice address
- 879 Black Oak Ridge Rd Unit 2
Wayne, NJ 07470-6400 - Phone
- (973) 837-8770
- Fax
- (973) 837-8771
- NPI assigned
- Oct 5, 2017
- Last updated
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Ruditser
- Title
- Vice President
- Phone
- (973) 837-8770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 28RS00759100 | NJ | Primary |
Addresses
Primary practice location
879 Black Oak Ridge Rd Unit 2
Wayne, NJ 07470-6400
Mailing address
879 Black Oak Ridge Rd
Unit #2
Wayne, NJ 07470-6400
Phone (973) 837-8770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2171984 | Other | PK | |
| 0606014 | Medicaid | NJ |
Other names 1
- Black Oak Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180208001922 | NJ | Part B Supplier - Pharmacy | 6608136825 | Practice locations: Wayne, NJ |
National Provider Directory
National Provider DirectoryLocations
879 Black Oak Ridge Rd
#2
Wayne, NJ 07470
Phone (973) 837-8770
879 Black Oak Ridge Rd
Unit 2
Wayne, NJ 07470
Phone (973) 837-8770
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Wayne, NJ
- NPI 1104105899
-
- Pharmacist
- Wayne, NJ
- NPI 1275387672
-
- Pharmacist
- Livingston, NJ
- NPI 1598345381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1790295616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 BLACK OAK RIDGE RD",
"address_2": "UNIT #2",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706400",
"telephone_number": "973-837-8770",
"fax_number": "973-837-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 BLACK OAK RIDGE RD UNIT 2",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074706400",
"telephone_number": "973-837-8770",
"fax_number": "973-837-8771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOP RX INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-05",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "RUDITSER",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "973-837-8770"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00759100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2171984",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0606014",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Black Oak Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Black Oak Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.