Boyds Pharmacy of Medford Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BOYDS PHARMACY OF MEDFORD INC

Practice address

5 Wilkins Station Rd Ste 100
Medford, NJ 08055-9606

Phone

(609) 975-8197

Fax

(609) 975-8223

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Tootell

Title

President

Phone

(609) 894-1679

Specialties & licenses 1

Addresses

Tax ID family

Boyds Pharmacy of Medford Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boyds Pharmacy of Medford Inc

  • Community/Retail Pharmacy
  • Medford, NJ
  • NPI 1710261730
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin Wainwright Jr., R.PH.

  • Pharmacist
  • Medford, NJ
  • NPI 1295152759
  NPD (past)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1801619762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WILKINS STATION RD STE 100",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559606",
            "telephone_number": "609-975-8197",
            "fax_number": "609-975-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WILKINS STATION RD STE 100",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559606",
            "telephone_number": "609-975-8197",
            "fax_number": "609-975-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYDS PHARMACY OF MEDFORD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "TOOTELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-894-1679"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boost Physio and Performance
• Nicole Bopp, LPC
• Sabrina Bowman, PTA
• Bowsprit Consulting LLC
• Boyds Pharmacy of Medford Inc
• Thomas E Boytim, DMD
• Monique Braatz, DMD
• Karen Brash - McGreer, R.N., MFT, MED,
• Breakthru Physical Therapy LLC
• Taylor Broderick

• Long Term Care Pharmacy in Medford, NJ
• Providers in Medford, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.