Active NPI
Little Ferry Pharmacy, LLC.
- Pharmacy
- Little Ferry, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- LITTLE FERRY PHARMACY, LLC.
- Practice address
- 260 Bergen Tpke
Little Ferry, NJ 07643-1104 - Phone
- (201) 870-6500
- Fax
- (201) 870-6023
- NPI assigned
- Jun 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Taehee Park, PHARMD.
- Title
- Pharmacist
- Phone
- (201) 870-6500
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
260 Bergen Tpke
Little Ferry, NJ 07643-1104
Mailing address
260 Bergen Tpke
Little Ferry, NJ 07643-1104
Phone (201) 870-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210722002698 | NJ | DME Supplier - Pharmacy | 6103229513 | Practice locations: Little Ferry, NJ |
| O20220322000696 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 6103229513 | Practice locations: Little Ferry, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2262560 | Little Ferry Pharmacy | Certificate of waiver | Jun 14, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Little Ferry Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
260 Bergen Tpke
Little Ferry, NJ 07643
Phone (201) 641-2030
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Little Ferry, NJ
- NPI 1730317520
-
- Optometrist
- East Rutherford, NJ
- NPI 1073676409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630972800000",
"number": "1891362372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 BERGEN TPKE",
"city": "LITTLE FERRY",
"state": "NJ",
"postal_code": "076431104",
"telephone_number": "201-870-6500",
"fax_number": "201-870-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 BERGEN TPKE",
"city": "LITTLE FERRY",
"state": "NJ",
"postal_code": "076431104",
"telephone_number": "201-870-6500",
"fax_number": "201-870-6023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE FERRY PHARMACY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-04",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "TAEHEE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "201-870-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Ferry, NJ
- Yongsoo Lee, NP-C
- Lihong Traditional Chinese Medicine PC
- Little Ferry Chiropractic and Physical Therapy
- Little Ferry First Aid Corp, Inc.
- Little Ferry Optical
- Little Ferry RX Inc
- Little Ferry School District
- Little Ferry Sports and Rehab
- Little Ferry Sports, Spine & Rehabilitation Center
- Ghazalah Iqbal Malik, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.