Active NPI
Ewing Pharmacy LLC
- Pharmacy
- Ewing, NJ
National Provider Identifier
1841820388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- EWING PHARMACY LLC
- Practice address
- 1400 Parkway Ave Ste A2
Ewing, NJ 08628-3021 - Phone
- (609) 323-7503
- Fax
- (609) 323-7508
- NPI assigned
- Jan 23, 2020
- Last updated
- Jun 10, 2022
- 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
- Bhaumik Thaker
- Title
- Member
- Phone
- (609) 323-7503
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary |
Addresses
Primary practice location
1400 Parkway Ave Ste A2
Ewing, NJ 08628-3021
Mailing address
1400 Parkway Ave Ste A2
Ewing, NJ 08628-3021
Phone (609) 323-7503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200422002854 | NJ | DME Supplier - Pharmacy | 6002246600 | Practice locations: Ewing, NJ |
| O20211028000098 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 6002246600 | Practice locations: Ewing, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Ewing Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Ewing, NJ
- NPI 1558116103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654819200000",
"number": "1841820388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PARKWAY AVE STE A2",
"city": "EWING",
"state": "NJ",
"postal_code": "086283021",
"telephone_number": "609-323-7503",
"fax_number": "609-323-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 PARKWAY AVE STE A2",
"city": "EWING",
"state": "NJ",
"postal_code": "086283021",
"telephone_number": "609-323-7503",
"fax_number": "609-323-7508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EWING PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-23",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A",
"authorized_official_last_name": "THAKER",
"authorized_official_first_name": "BHAUMIK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "609-323-7503"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.