Levy'S Pharmacy of Lyndhurst LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00602800 Issued in NJ

Legal business name

LEVY'S PHARMACY OF LYNDHURST LLC

Practice address

299 Stuyvesant Ave
Lyndhurst, NJ 07071-1874

Phone

(201) 438-1026

Fax

(201) 438-1668

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Yolanda Garcia

Title

RPH in Charge

Phone

(201) 438-1026

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1972544302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 STUYVESANT AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711874",
            "telephone_number": "201-438-1026",
            "fax_number": "201-438-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 STUYVESANT AVE",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711874",
            "telephone_number": "201-438-1026",
            "fax_number": "201-438-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVY'S PHARMACY OF LYNDHURST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "RPH IN CHARGE",
        "authorized_official_telephone_number": "201-438-1026"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00602800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8941807",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8941815",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Keun Lee, DMD
• Kevin K Lee, RPH
• Younghee Lee, DDS
• Lestat Corp
• Levy'S Pharmacy of Lyndhurst LLC
• Christine Kelly Lew, PT, DPT
• Nicole Marie Liloia, LCSW
• Evgeniya Liminik, APN
• Antoine Lin, MPT, CSCS
• Rebecca Linares

• Pharmacy in Lyndhurst, NJ
• Providers in Lyndhurst, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.