Generation Pharmacy Group, LLC.

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00722500 Issued in NJ

Legal business name

GENERATION PHARMACY GROUP, LLC.

Doing business as

Generation Pharmacy Group, LLC.

Practice address

85 Fulton Street
Suite 9a
Boonton, NJ 07005

Phone

(973) 299-2500

Fax

(973) 265-0005

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Linda M Witzal, RPH

Title

President

Phone

(973) 299-2500

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Generation Pharmacy Group, LLC. Doing business as

Locations

Practitioners 1

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

• Sophia Keene, PHARMD

  • Pharmacist
  • Boonton, NJ
  • NPI 1558019224
  NPD (past)

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1912241340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 FULTON STREET",
            "address_2": "SUITE 9A",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "07005",
            "telephone_number": "973-299-2500",
            "fax_number": "973-265-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 FULTON STREET",
            "address_2": "SUITE 9A",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "07005",
            "telephone_number": "973-299-2500",
            "fax_number": "973-265-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION PHARMACY GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "WITZAL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-299-2500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00722500",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3199204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generation Pharmacy Group, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chana Friedman, LMFT
• Marie-Nicole Gabriel, PHARMD
• Jill S Gallagher
• Jessica Gallego, LSW
• Sue Garwood
• Bryan Glock, PHARMD
• Basia Godecki, MSW, LSW
• Hannah Gooen, LSW
• Jeremie Grabinsky
• Great Atlantic &Pacific Tea Company Inc

• Pharmacy in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.