1932440930 NPI number — POINT OF CARE PHARMACY

Table of content: (NPI 1932440930)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932440930 NPI number — POINT OF CARE PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
POINT OF CARE PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
POINT OF CARE PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932440930
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
333 FORSGATE DR
Provider Second Line Business Mailing Address:
STE 104
Provider Business Mailing Address City Name:
JAMESBURG
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08831
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-641-2664
Provider Business Mailing Address Fax Number:
732-641-2669

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 FORSGATE DR
Provider Second Line Business Practice Location Address:
STE 104
Provider Business Practice Location Address City Name:
JAMESBURG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08831
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-641-2664
Provider Business Practice Location Address Fax Number:
732-641-2669
Provider Enumeration Date:
03/15/2013

Additional Information

Authorized Official

Authorized Official Last Name:
ORLOVA
Authorized Official First Name:
TATYANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
732-641-2664

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  28RS00725100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2139432 . This is a "PK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com