Active NPI
Drug Fair Group, Inc.
- Community/Retail Pharmacy
- Boonton, NJ
National Provider Identifier
1821048836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5925
- Legal business name
- DRUG FAIR GROUP, INC.
- Practice address
- 600 Myrtle Ave
Boonton, NJ 07005-1940 - Phone
- (973) 334-4444
- Fax
- (973) 334-6130
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Barrie Martin Levine, R.PH.
- Title
- V.P. Pharmacy
- Phone
- (732) 748-8900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 5925 | NJ | Primary |
Addresses
Primary practice location
600 Myrtle Ave
Boonton, NJ 07005-1940
Mailing address
800 Cottontail LN
Somerset, NJ 08873-1227
Phone (732) 748-8900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8585211 | Medicaid | NJ | |
| 8585202 | Medicaid | NJ |
Other names 1
- Drug Fair of Boonton 54
National Provider Directory
National Provider Directory- Tax ID family
- Drug Fair Group Inc
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Locations
800 Cottontail Ln
Somerset, NJ 08873
Phone (732) 748-8900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195776000000",
"number": "1821048836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 COTTONTAIL LN",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731227",
"telephone_number": "732-748-8900",
"fax_number": "732-868-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MYRTLE AVE",
"city": "BOONTON",
"state": "NJ",
"postal_code": "070051940",
"telephone_number": "973-334-4444",
"fax_number": "973-334-6130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRUG FAIR GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2007-11-23",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "BARRIE",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "V.P. PHARMACY",
"authorized_official_telephone_number": "732-748-8900",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "5925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8585211",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8585202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Drug Fair of Boonton 54",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.