Organization Active NPI

Princeton Pike RX LLC

  • Community/Retail Pharmacy
  • Lawrenceville, NJ
National Provider Identifier
1801670518
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRINCETON PIKE RX LLC
Practice address
3100 Princeton Pike Ste 4B
Lawrenceville, NJ 08648-2376
Phone
(609) 450-3740
Fax
(609) 450-3741
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Hyung Seok Lee, PHARM DNPI 1205302221
Title
Owner
Phone
(609) 450-3740

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

3100 Princeton Pike Ste 4B
Lawrenceville, NJ 08648-2376

Mailing address

3100 Princeton Pike Ste 4B
Lawrenceville, NJ 08648-2376
Phone (609) 450-3740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231121001125 NJ Part B Supplier - Pharmacy 1557719192 Practice locations: Lawrenceville, NJ

National Provider Directory

National Provider Directory

Locations

3100 Princeton Pike
Ste 4B
Lawrenceville, NJ 08648
Phone (609) 450-3740

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1801670518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE STE 4B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482376",
            "telephone_number": "609-450-3740",
            "fax_number": "609-450-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE STE 4B",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482376",
            "telephone_number": "609-450-3740",
            "fax_number": "609-450-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON PIKE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYUNG SEOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-450-3740",
        "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": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.