Pitman Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Pitman, NJ
NPI 1790727196 · NPPES record last updated Oct 26, 2016
Key facts
- NPI
- 1790727196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 28RS00642000 (NJ)
- Legal business name
- PITMAN PHARMACY INC
- Practice address
- 39 S Broadway
Pitman, NJ 08071-1413 - Phone
- (856) 589-2392
- Fax
- (856) 589-5206
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
Authorized official
- Name
- John Sobieski
- Title
- Owner/President
- Phone
- (856) 589-2392
Practitioners 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211025002772 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 2961728886 | Practice locations: Pitman, NJ |
National Provider Directory
Locations
39 S Broadway
Pitman, NJ 08071
Phone (856) 589-2392
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28RS00642000 | NJ | Yes |
Addresses
Primary practice location
39 S Broadway
Pitman, NJ 08071-1413
Mailing address
39 S Broadway
Pitman, NJ 08071-1413
Phone (856) 589-2392
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2148310 | Other | PK |
Other names
- Pitman Pharmacy
Other providers in Pitman, NJ
- Bridget Peterson
- Christopher Shawn Pinkerton
- Pitman Dental Inc
- Pitman Manor Inc
- Pitman Manor, Inc.
- Pitman Public Schools
- Positive State Psychological & Behavioral Services, LLC
- Dorith Prutchi
- Andrew Lawrence Putter
- Real Life Stars
All providers in Pitman, 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 Oct 26, 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.