Organization Active NPI

Mill Pharmacy,Inc

  • Pharmacy
  • Mount Laurel, NJ
National Provider Identifier
1881696797
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
4297105 Issued in NJ
Legal business name
MILL PHARMACY,INC
Practice address
3701 Church Rd
Mount Laurel, NJ 08054-1133
Phone
(856) 234-0777
Fax
(856) 235-6861
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Robert Lautman, R.PH.
Title
President Pharmacist,C.F.
Phone
(856) 234-0777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2590603 NJ
Oxygen Equipment & Supplies (DME) 332BX2000X 2590603 NJ
Pharmacy 333600000X 4297105 NJ Primary

Addresses

Primary practice location

3701 Church Rd
Mount Laurel, NJ 08054-1133

Mailing address

3701 Church Rd
Mount Laurel, NJ 08054-1133
Phone (856) 234-0777

Other identifiers 2

IdentifierTypeStateIssuer
4297105MedicaidNJ
2590603MedicaidNJ

National Provider Directory

National Provider Directory

Locations

3701 Church Rd
Mount Laurel, NJ 08054
Phone (856) 234-1766

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881696797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541133",
            "telephone_number": "856-234-0777",
            "fax_number": "856-235-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541133",
            "telephone_number": "856-234-0777",
            "fax_number": "856-235-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LAUTMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT PHARMACIST,C.F.",
        "authorized_official_telephone_number": "856-234-0777",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "2590603",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NJ",
            "license": "2590603",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "4297105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4297105",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2590603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.