Organization Active NPI

F Decandia Jr Corp

Doing business as Franklyns Pharmacy

  • Community/Retail Pharmacy
  • Ho Ho Kus, NJ
National Provider Identifier
1891835724
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00455500 Issued in NJ
Legal business name
F DECANDIA JR CORP
Doing business as
Franklyns Pharmacy
Practice address
204 Warren Ave
Ho Ho Kus, NJ 07423-1545
Phone
(201) 444-5550
Fax
(201) 444-8180
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Frank Decandia, RPHNPI 1417097916
Title
President
Phone
(201) 444-5550

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00455500 NJ Primary

Addresses

Primary practice location

204 Warren Ave
Ho Ho Kus, NJ 07423-1545

Mailing address

204 Warren Ave
Ho Ho Kus, NJ 07423-1545
Phone (201) 444-5550

Other identifiers 2

IdentifierTypeStateIssuer
4533801MedicaidNJ
2051900OtherPK

Other names 1

  • FRANKLYNS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930091333 NJ DME Supplier - Pharmacy 0547381634 Practice locations: Ho Ho Kus, NJ
O20140123000449 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 0547381634 Practice locations: Ho Ho Kus, NJ

National Provider Directory

National Provider Directory
Tax ID family
F Decandia Jr Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

204 Warren Ave
Ste 1
Ho Ho Kus, NJ 07423
Phone (201) 444-5550

Practitioners & affiliated clinicians

Practitioners 6

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1891835724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WARREN AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231545",
            "telephone_number": "201-444-5550",
            "fax_number": "201-444-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WARREN AVE",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231545",
            "telephone_number": "201-444-5550",
            "fax_number": "201-444-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F DECANDIA JR CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "DECANDIA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-5550",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00455500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4533801",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRANKLYNS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.