NPIMap

Organization Active NPI

Community Distributors, Inc.

Doing business as Drug Fair of Wyckoff

  • Pharmacy
  • Wyckoff, NJ
National Provider Identifier
1851376420
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5086 Issued in NJ
Legal business name
COMMUNITY DISTRIBUTORS, INC.
Doing business as
Drug Fair of Wyckoff
Practice address
519 Cedar Hill Ave
Wyckoff, NJ 07481-2138
Phone
(201) 652-0200
Fax
(201) 652-7179
NPI assigned
Dec 7, 2005
Last updated
Nov 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Authorized official

Name
Mr. Barrie Levine, R.PH.
Title
V.P. Pharmacy
Phone
(732) 748-8900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 5086 NJ Primary

Addresses

Primary practice location

519 Cedar Hill Ave
Wyckoff, NJ 07481-2138

Mailing address

800 Cottontail LN
Somerset, NJ 08873-1227
Phone (732) 748-8900

Other identifiers 2

IdentifierTypeStateIssuer
6571417MedicaidNJ
6571409MedicaidNJ

Other names 1

  • Drug Fair of Wyckoff Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drug Fair Group Inc48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Locations

519 Cedar Hill Ave
Wyckoff, NJ 07481
Phone (201) 639-0123

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1851376420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COTTONTAIL LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731227",
            "telephone_number": "732-748-8900",
            "fax_number": "732-868-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 CEDAR HILL AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812138",
            "telephone_number": "201-652-0200",
            "fax_number": "201-652-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DISTRIBUTORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "BARRIE",
        "authorized_official_title_or_position": "V.P. PHARMACY",
        "authorized_official_telephone_number": "732-748-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "5086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6571417",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6571409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Fair of Wyckoff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyckoff, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.