NPIMap

Organization Active NPI

Medco Health Solutions of Willingboro, LLC

Doing business as Medco Center for Pharmacotherapeutic Research

  • Pharmacy
  • Willingboro, NJ
National Provider Identifier
1871812420
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00701500 Issued in NJ
Legal business name
MEDCO HEALTH SOLUTIONS OF WILLINGBORO, LLC
Doing business as
Medco Center for Pharmacotherapeutic Research
Practice address
1 Millenium Dr
Suite 101
Willingboro, NJ 08046-1000
Phone
(877) 807-0947
Fax
(609) 880-2221
NPI assigned
May 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Barry Cesanek
Title
Assistant Secretary
Phone
(609) 880-2307

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 28RS00701500 NJ Primary
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

1 Millenium Dr
Suite 101
Willingboro, NJ 08046-1000

Mailing address

1 Millenium Dr
Suite 101
Willingboro, NJ 08046-1000
Phone (877) 807-0947

Other identifiers 1

IdentifierTypeStateIssuer
2124850OtherPK

Other names 1

  • Medco Center for Pharmacotherapeutic Research Doing business as

National Provider Directory

National Provider Directory

Locations

1 Millennium Dr
Ste 101
Willingboro, NJ 08046
Phone (877) 807-0947

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1871812420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILLENIUM DR",
            "address_2": "SUITE 101",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461000",
            "telephone_number": "877-807-0947",
            "fax_number": "609-880-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILLENIUM DR",
            "address_2": "SUITE 101",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461000",
            "telephone_number": "877-807-0947",
            "fax_number": "609-880-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO HEALTH SOLUTIONS OF WILLINGBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "CESANEK",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "609-880-2307"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00701500",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2124850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medco Center for Pharmacotherapeutic Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.