Active NPI
Jefferson Pharmacy
- Community/Retail Pharmacy
- Lake Hopatcong, NJ
National Provider Identifier
1922106905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RS00644500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3192387 | Other | OTHER ID NUMBER |
National Provider Directory
National Provider DirectoryNPI 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.