Active NPI
Alltown Pharmacy
- Pharmacy
- Eatontown, NJ
National Provider Identifier
1831608157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00626900
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018724 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.