Organization Active NPI

Ewing Pharmacy LLC

  • Pharmacy
  • Ewing, NJ
National Provider Identifier
1841820388
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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)CodeLicenseStatePrimary
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 NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.