NPIMap

Organization Active NPI

Memorial Sloan Kettering Cancer Center

Doing business as Memorial Sloan Kettering at Monmouth - Retail

  • Community/Retail Pharmacy
  • Middletown, NJ
National Provider Identifier
1982148466
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEMORIAL SLOAN KETTERING CANCER CENTER
Doing business as
Memorial Sloan Kettering at Monmouth - Retail
Memorial Sloan Kettering at Monmouth Retail
Practice address
480 Red Hill Rd
Suite 1136
Middletown, NJ 07748-3052
Phone
(848) 225-6060
Fax
(201) 691-6676
NPI assigned
Dec 19, 2016
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Susan Murillo
Title
Pharmacy Manager
Phone
(212) 639-2206

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 28RS00752500 NJ
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

480 Red Hill Rd
Suite 1136
Middletown, NJ 07748-3052

Mailing address

1275 York Ave RM H-313
New York, NY 10065-6007
Phone (212) 639-2206

Other identifiers 1

IdentifierTypeStateIssuer
2166963OtherPK

Other names 2

  • Memorial Sloan Kettering at Monmouth - Retail Doing business as
  • Memorial Sloan Kettering at Monmouth Retail Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191028001322 NJ DME Supplier - Pharmacy 9931304375 Practice locations: Middletown, NJ

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Memorial Sloan Kettering at Monmout480 Red Hill Rd, Middletown, NJ 07748-3052(848) 225-6060 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 1, 1999

National Provider Directory

National Provider Directory
Tax ID family
Mskcc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

480 Red Hill Rd
Ste 1136
Middletown, NJ 07748
Phone (848) 225-6060

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1982148466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 YORK AVE RM H-313",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656007",
            "telephone_number": "212-639-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 RED HILL RD",
            "address_2": "SUITE 1136",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483052",
            "telephone_number": "848-225-6060",
            "fax_number": "201-691-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL SLOAN KETTERING CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2025-09-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "212-639-2206"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NJ",
            "license": "28RS00752500",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166963",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Sloan Kettering at Monmouth - Retail",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Sloan Kettering at Monmouth Retail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.