Organization Active NPI

Alltown Pharmacy

  • Pharmacy
  • Eatontown, NJ
National Provider Identifier
1831608157
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00626900 Issued in NJ
Legal business name
ALLTOWN PHARMACY
Practice address
158 Wyckoff Rd
Eatontown, NJ 07724
Phone
(732) 542-7773
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Anna Keylin, RPH
Title
President
Phone
(732) 542-7773

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 28RS00626900 NJ
Pharmacy 333600000X 28RS00626900 NJ Primary

Addresses

Primary practice location

158 Wyckoff Rd
Eatontown, NJ 07724

Mailing address

158 Wyckoff Rd
Eatontown, NJ 07724-1890
Phone (732) 542-7773

Other identifiers 1

IdentifierTypeStateIssuer
0018724MedicaidNJ

National Provider Directory

National Provider Directory

Locations

158 Wyckoff Rd
Eatontown, NJ 07724
Phone (732) 544-0007

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831608157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WYCKOFF RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241890",
            "telephone_number": "732-542-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 WYCKOFF RD",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-542-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLTOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KEYLIN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-542-7773",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00626900",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00626900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018724",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.