Maple Shade Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAPLE SHADE APOTHECARY INC

Practice address

25 W Main St
Maple Shade, NJ 08052-2411

Phone

(856) 779-8300

NPI assigned

Nov 4, 2024

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Muhammad Rehan Khan

Title

Owner

Phone

(856) 779-8300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Tax ID family

Maple Shade Apothecary Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maple Shade Apothecary Inc

  • Long Term Care Pharmacy
  • Maple Shade, NJ
  • NPI 1942023965
  NPD tax ID

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1942023445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522411",
            "telephone_number": "856-779-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522411",
            "telephone_number": "856-779-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SHADE APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "REHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-779-8300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Y Lee, DMD
• Luxottica of America Inc (For Eyes (Cm277))
• Jillian Lynch
• Main Chiropractic Center, LLC
• Maple Operations LLC
• Maple Shade Apothecary Inc
• Maple Shade Board of Education
• Maple Shade First Aid Squad Inc
• Maple Shade Foot and Ankle Specialists, LLC
• Maple Shade Healthcare LLC (Maple Shade Wellness and Recovery)

• Community/Retail Pharmacy in Maple Shade, NJ
• Providers in Maple Shade, 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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.