Peter Pan Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PETER PAN PHARMACY INC

Practice address

2125 Park Ave
South Plainfield, NJ 07080-5498

Phone

(908) 754-7607

Fax

(908) 754-9106

NPI assigned

Jan 9, 2024

Organization subpart

No

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

Authorized official

Name

Mr. David Kornas, RPHNPI 1366194532

Title

President/Pharmacist

Phone

(908) 754-7607

Specialties & licenses 1

Addresses

Other names 1

• Peter Pan Pharmacy LTC Doing business as

Locations

Practitioners 2

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

• David Kornas, RPH

  • Pharmacist
  • South Plainfield, NJ
  • NPI 1366194532
  NPD Authorized official
• Andrew Louka, PHARM D

  • Pharmacist
  • South Plainfield, NJ
  • NPI 1588317150
  NPD

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1972373009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805498",
            "telephone_number": "908-754-7607",
            "fax_number": "908-754-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805498",
            "telephone_number": "908-754-7607",
            "fax_number": "908-754-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER PAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "KORNAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "908-754-7607",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter Pan Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Viraj Patel, PA -C
• Susan Paterson, ATC
• People With Purpose Inc.
• Emily A Peregrin, OTR/L
• Meghan Perez
• Laura Peterson
• Elizabeth Peyechu Moni, NP
• Robert Joseph Phillips, PHD
• Jophelle Pierre, MA, LAMFT
• Rosemarie Pierre, R.PH.

• Long Term Care Pharmacy in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.