Allentown Village Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00651900 Issued in NJ

Legal business name

ALLENTOWN VILLAGE PHARMACY INC

Doing business as

Village Pharmacy

Practice address

1278 Yardville Allentown Rd Ste 5
Allentown, NJ 08501-1866

Phone

(609) 259-2202

Fax

(609) 259-6735

NPI assigned

Jun 22, 2006

Last updated

May 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann Ervin, RPH MHANPI 1205857786

Title

Rpic Co/Owner

Phone

(609) 259-2202

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• VILLAGE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Ervin, RPH MHA

  • Pharmacist
  • Allentown, NJ
  • NPI 1205857786
  NPD Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1831135292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 YARDVILLE ALLENTOWN RD STE 5",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011866",
            "telephone_number": "609-259-2202",
            "fax_number": "609-259-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 YARDVILLE ALLENTOWN RD STE 5",
            "city": "ALLENTOWN",
            "state": "NJ",
            "postal_code": "085011866",
            "telephone_number": "609-259-2202",
            "fax_number": "609-259-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN VILLAGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "RPIC CO/OWNER",
        "authorized_official_telephone_number": "609-259-2202",
        "authorized_official_credential": "RPH MHA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00651900",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080586",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VILLAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Allentown, NJ
• Providers in Allentown, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.