Ridgemont Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5743 Issued in NJ

Legal business name

RIDGEMONT DRUGS LLC

Practice address

197 Kinderkamack Rd
Park Ridge, NJ 07656-1335

Phone

(201) 391-3232

Fax

(201) 930-9672

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Arthur Scot Barthold, R.PH.

Title

Owner/President

Phone

(201) 391-3232

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902847619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 KINDERKAMACK RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561335",
            "telephone_number": "201-391-3232",
            "fax_number": "201-930-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 KINDERKAMACK RD",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561335",
            "telephone_number": "201-391-3232",
            "fax_number": "201-930-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEMONT DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTHOLD",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "201-391-3232",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "5743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8186804",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3113507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Janet I Sandler, M. ED.

• Community/Retail Pharmacy in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.