Medford Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDFORD PHARMACY LLC

Practice address

639 Stokes Rd
Medford, NJ 08055-3003

Phone

(609) 654-6884

Fax

(609) 654-6887

NPI assigned

Dec 20, 2017

Organization subpart

No

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

Authorized official

Name

Ghassan Hourani

Title

Co-Owner

Phone

(856) 983-8700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1972019420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 STOKES RD STE 101",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553003",
            "telephone_number": "609-654-6884",
            "fax_number": "609-654-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 STOKES RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553003",
            "telephone_number": "609-654-6884",
            "fax_number": "609-654-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "HOURANI",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "856-983-8700"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Maria Meola, RN, MS,RNFA

• Community/Retail Pharmacy in Medford, NJ
• Providers in Medford, 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 Dec 20, 2017; 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.