Organization Active NPI

RTL Inc

  • Community/Retail Pharmacy
  • Bayonne, NJ
National Provider Identifier
1811270622
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00680900 Issued in NJ
Legal business name
RTL INC
Practice address
110 W 4TH St
Bayonne, NJ 07002-1150
Phone
(201) 436-5875
Fax
(201) 436-4063
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Teresa Mars
Title
Owner
Phone
(201) 436-5875

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00680900 NJ Primary

Addresses

Primary practice location

110 W 4TH St
Bayonne, NJ 07002-1150

Mailing address

110 W 4TH St
Bayonne, NJ 07002-1150
Phone (201) 436-5875

Other identifiers 1

IdentifierTypeStateIssuer
2133432OtherPK

Other names 1

  • Bergen Point Apothecary Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120530000362 NJ DME Supplier - Pharmacy 1254594336 Practice locations: Bayonne, NJ
O20130729000188 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1254594336 Practice locations: Bayonne, NJ

National Provider Directory

National Provider Directory
Tax ID family
RTL 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1811270622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021150",
            "telephone_number": "201-436-5875",
            "fax_number": "201-436-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070021150",
            "telephone_number": "201-436-5875",
            "fax_number": "201-436-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-436-5875"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00680900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen Point Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.