Medicine Shoppe

LBN: Medicine Shoppe
Medicine Shoppe is an health care organization with primary practice located at 681 River Ave , Lakewood NJ 08701-5229. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medicine Shoppe can be contacted via phone (732) 367-5080, or through Conerty, Brian via phone (732) 367-5080.

Contact Information

Primary practice address
681 River Ave Lakewood NJ 08701-5229
Phone: (732) 367-5080
Fax: (732) 367-5734
Website:
Map and Directions
Authorized official contact:
Name: Conerty, Brian RPH
Phone: (732) 367-5080

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RS00614000 New Jersey

Profile Details

NPI number 1225046501
LBN Legal business name Medicine Shoppe
DBA Doing business as
Authorized official Conerty, Brian RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225046501 NPPES
Other 3120627 OTHER ID NUMBER
MEDICAID 9004408 OTHER ID NUMBER

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