Organization Active NPI

Emes Pharmacy LLC

  • Community/Retail Pharmacy
  • Lakewood, NJ
National Provider Identifier
1902948623
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00666700 Issued in NJ
Legal business name
EMES PHARMACY LLC
Practice address
258 Cedar Bridge Ave.
Lakewood, NJ 08701
Phone
(732) 942-1212
Fax
(732) 942-1224
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Shamindra Dhanawtawa Dhanawtawari, PHARMACY TECH
Title
Member
Phone
(732) 942-1212

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00666700 NJ Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

258 Cedar Bridge Ave.
Lakewood, NJ 08701

Mailing address

258 Cedar Bridge Ave.
Lakewood, NJ 08701
Phone (732) 942-1212

Other identifiers 1

IdentifierTypeStateIssuer
2056077OtherPK

Other names 1

  • EMES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

258 Cedarbridge Ave
Lakewood, NJ 08701
Phone (732) 942-1212

415 Cedarbridge Ave
Lakewood, NJ 08701

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1902948623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 CEDAR BRIDGE AVE.",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-942-1212",
            "fax_number": "732-942-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 CEDAR BRIDGE AVE.",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-942-1212",
            "fax_number": "732-942-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "DHANAWTAWARI",
        "authorized_official_first_name": "SHAMINDRA DHANAWTAWA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-942-1212",
        "authorized_official_credential": "PHARMACY TECH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00666700",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2056077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EMES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.