Organization Active NPI

Jefferson Pharmacy

  • Community/Retail Pharmacy
  • Lake Hopatcong, NJ
National Provider Identifier
1922106905
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RS00644500 Issued in NJ
Legal business name
JEFFERSON PHARMACY
Practice address
706 RT 15 South
Ste 104
Lake Hopatcong, NJ 07849
Phone
(973) 663-2550
Fax
(973) 663-2440
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Behzad Aalampour, RPH
Title
Owner
Phone
(973) 663-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X RS00644500 NJ Primary

Addresses

Primary practice location

706 RT 15 South
Ste 104
Lake Hopatcong, NJ 07849

Mailing address

706 RT 15 South
Ste 104
Lake Hopatcong, NJ 07849

Other identifiers 1

IdentifierTypeStateIssuer
3192387OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1922106905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 RT 15 SOUTH",
            "address_2": "STE 104",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "07849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RT 15 SOUTH",
            "address_2": "STE 104",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "07849",
            "telephone_number": "973-663-2550",
            "fax_number": "973-663-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "AALAMPOUR",
        "authorized_official_first_name": "BEHZAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-663-2550",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "RS00644500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "3192387",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Hopatcong, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.