NPIMap

Organization Active NPI

Direct Success Pharmacy Dept

  • Community/Retail Pharmacy
  • Wall Township, NJ
National Provider Identifier
1992068613
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00675700 Issued in NJ
Legal business name
DIRECT SUCCESS PHARMACY DEPT
Practice address
1710 Highway 34
Wall Township, NJ 07727-3906
Phone
(732) 919-1234
NPI assigned
Jun 18, 2012
Organization subpart
Yes
Parent organization
DIRECT SUCCESS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Mrs. Cheryl Lawrence McDaniel
Title
President/Ceo
Phone
(732) 919-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00675700 NJ Primary

Addresses

Primary practice location

1710 Highway 34
Wall Township, NJ 07727-3906

Mailing address

1710 Highway 34
Wall Township, NJ 07727-3906

National Provider Directory

National Provider Directory
Tax ID family
Direct Success Pharmacy Dept2 organizations share this tax ID, including this one
Part of
Direct Success Pharmacy Dept

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1992068613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 34",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077273906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HIGHWAY 34",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077273906",
            "telephone_number": "732-919-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT SUCCESS PHARMACY DEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIRECT SUCCESS INC",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "732-919-1234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00675700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.