Organization Active NPI

Holmdel Pharmacy & Deli LLC

Doing business as Holmdel Pharmacy Care

  • Pharmacy
  • Holmdel, NJ
National Provider Identifier
1982237103
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HOLMDEL PHARMACY & DELI LLC
Doing business as
Holmdel Pharmacy Care
Practice address
2145 State Route 35 Unit 2A2
Holmdel, NJ 07733-1164
Phone
(732) 787-6666
Fax
(732) 787-2222
NPI assigned
Feb 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Mrs. Marian Mikaile
Title
President
Phone
(201) 423-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2145 State Route 35 Unit 2A2
Holmdel, NJ 07733-1164

Mailing address

2145 State Route 35 Unit 2A2
Holmdel, NJ 07733-1164
Phone (732) 787-6666

Other identifiers 1

IdentifierTypeStateIssuer
0753211MedicaidNJ

Other names 1

  • Holmdel Pharmacy Care Doing business as

National Provider Directory

National Provider Directory

Locations

487 Middle Rd
Hazlet, NJ 07730
Phone (732) 787-6666

2145 State Route 35
Unit 2A2
Holmdel, NJ 07733
Phone (732) 787-6666

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1982237103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 STATE ROUTE 35 UNIT 2A2",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331164",
            "telephone_number": "732-787-6666",
            "fax_number": "732-787-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 STATE ROUTE 35 UNIT 2A2",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331164",
            "telephone_number": "732-787-6666",
            "fax_number": "732-787-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMDEL PHARMACY & DELI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "MIKAILE",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-423-3300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0753211",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmdel Pharmacy Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.