BUNNS OLDE TYME PHARMACY (NPI# 1326135526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326135526 |
| Entity Type | Organization |
| Organization Name | BUNNS OLDE TYME PHARMACY |
| Practice Address |
211 W Millstream Rd Cream Ridge NJ 08514-2356 |
| Practice Telephone | 6097586100 |
| Practice Fax Number | 6097586399 |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALLEN BUNN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6096544199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 28RS00586100 | NJ | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3142382 | 01 | |
| NJ | 8253901 | 05 |
| Street Address |
211 W MILLSTREAM RD |
| City | CREAM RIDGE |
| State | NJ |
| Zip Code | 08514-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720160906 | Victoria J. Roeder | Dentist | 211 W Millstream Rd, Cream Ridge, NJ 08514-2356 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255425856 | Ira L Goldstine | Dentist | 343 Dutch Neck Road, East Windsor, NJ 08514 | 2006-10-03 |
| 1699006890 | Craig William Moon | Dentist | 265 Route 539, Cream Ridge, NJ 08514-1519 | 2010-01-27 |
| 1477632610 | Danielle Lavelle | Psychologist | 12 Victoria Ct, Cream Ridge, NJ 08514-1527 | 2006-11-06 |
| 1992043178 | Marc E Covitz | Nurse Practitioner | 117 Burlington Path Rd, Cream Ridge, NJ 08514-1604 | 2013-01-23 |
| 1760988430 | Laura Heller Corniola | Student in an Organized Health Care Education/Training Program | 2 Long Acre Dr, Cream Ridge, NJ 08514-1620 | 2018-04-02 |
| 1548216617 | Alicia Sue Peller | Pediatrics | 163 Burlington Path Rd, Unit L, Cream Ridge, NJ 08514-1622 | 2006-05-26 |
| 1508201658 | Jose Paul Loor Dpm LLC | Podiatrist | 163 Burlington Path Rd, Suite K, Cream Ridge, NJ 08514-1622 | 2013-05-02 |
| 1487975777 | Allentown Medical Associates | Non-Pharmacy Dispensing Site | 163 Burlington Path Rd, L, Cream Ridge, NJ 08514-1622 | 2010-06-21 |
| 1124278957 | Barbara L Eisen | Veterinarian | 163 Burlington Path Rd, Cream Ridge, NJ 08514-1622 | 2008-09-29 |
| 1659433357 | Allentown Medical Associates | Internal Medicine | 163 Burlington Path Rd, Cream Ridge Professional Center Unit L, Cream Ridge, NJ 08514-1622 | 2006-12-16 |
| Find all providers in zip 08514 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495544 | Medilink Rxcare Hammonton, LLC | Pharmacy | 44 S White Horse Pike, Hammonton, NJ 08037-1845 | 2020-10-23 |
| 1770193757 | Rvl Pharmacy | Pharmacy | 2500 Main St Ste 10, Sayreville, NJ 08872-1473 | 2020-08-05 |
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| Find all providers with the same taxonomy | ||||
| City | CREAM RIDGE |
| Zip Code | 08514 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.