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Memorial Sloan Kettering Cancer Center

Organization Active NPI Community/Retail Pharmacy · Middletown, NJ

NPI 1982148466 · NPPES record last updated Sep 19, 2025

Key facts

NPI
1982148466
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
MEMORIAL SLOAN KETTERING CANCER CENTER
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
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 20

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

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

National Provider Directory

Tax ID family
Memorial Sloan Kettering Cancer Center (21 organizations share this tax ID)

Specialties & licenses

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

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

IdentifierTypeStateIssuer
2166963OtherPK

Other names

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

Other providers in Middletown, NJ

All providers in Middletown, NJ · Community/Retail Pharmacy in New Jersey

Sources for this page

Verify at the official NPI Registry.