NPIMap

Organization Active NPI

Integrated Medication Management

  • Long Term Care Pharmacy
  • Mount Laurel, NJ
National Provider Identifier
1811560337
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
INTEGRATED MEDICATION MANAGEMENT
Practice address
136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725
Phone
(856) 380-1828
Fax
(856) 291-7009
NPI assigned
Jul 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Betty Ngo
Title
SVP Operations
Phone
(856) 380-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725

Mailing address

136 Gaither Dr Ste 120
Mount Laurel, NJ 08054-1725
Phone (856) 380-1828

National Provider Directory

National Provider Directory
Tax ID family
Bayada Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1811560337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 GAITHER DR STE 120",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541725",
            "telephone_number": "856-380-1828",
            "fax_number": "856-291-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 GAITHER DR STE 120",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541725",
            "telephone_number": "856-380-1828",
            "fax_number": "856-291-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICATION MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "856-380-1828"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.