Organization Active NPI

Amwell Pharmacy Inc.

  • Community/Retail Pharmacy
  • Hillsborough, NJ
National Provider Identifier
1891303616
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AMWELL PHARMACY INC.
Practice address
438 Route 206 Ste 3
Hillsborough, NJ 08844-5525
Phone
(908) 829-3431
Fax
(908) 829-4316
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Mr. Achilles Alon, PHARM.DNPI 1972113207
Title
Owner
Phone
(732) 673-1244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

438 Route 206 Ste 3
Hillsborough, NJ 08844-5525

Mailing address

438 Route 206 Ste 3
Hillsborough, NJ 08844-5525
Phone (908) 829-3431

Other identifiers 1

IdentifierTypeStateIssuer
28RS00778600OtherNJNJ BOARD OF PHARMACY

Other names 1

  • Amwell Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118002860 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6204253511 Practice locations: Hillsborough, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2202057Amwell Pharmacy438 Route 206, Unit 3, Hillsborough, NJ 08844Certificate of waiverNov 23, 2026

National Provider Directory

National Provider Directory

Locations

438 US Highway 206
Ste 3
Hillsborough, NJ 08844
Phone (908) 829-3431

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1891303616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 ROUTE 206 STE 3",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445525",
            "telephone_number": "908-829-3431",
            "fax_number": "908-829-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 ROUTE 206 STE 3",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445525",
            "telephone_number": "908-829-3431",
            "fax_number": "908-829-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMWELL PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "ALON",
        "authorized_official_first_name": "ACHILLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-673-1244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY",
            "identifier": "28RS00778600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amwell Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.