108 LACEY ROAD LLC (NPI# 1831328426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831328426 |
| Entity Type | Organization |
| Organization Name | 108 LACEY ROAD LLC |
| Other Organization Name | FOODTOWN PHARMACY |
| Practice Address |
108 Lacey Rd Whiting NJ 08759-1337 |
| Practice Telephone | 7323507550 |
| Practice Fax Number | 7323507552 |
| Mailing Telephone | 7323507550 |
| Mailing Fax Number | 7323507552 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2010-02-24 |
| Authorized Official Name | SANJAY SHAH (OWNER) |
| Authorized Official Telephone | 7323507550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00700300 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3196688 | 01 |
| Other Name | Type Code |
|---|---|
| FOODTOWN PHARMACY | Doing Business As Name - Organization |
| Street Address |
108 LACEY RD |
| City | WHITING |
| State | NJ |
| Zip Code | 08759-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356397079 | Ashvin S Patel | Internal Medicine | 108 Lacey Rd, Suite # 30, Whiting, NJ 08759-1337 | 2006-05-25 |
| 1790113744 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 108 Lacey Rd, Suite 23, Whiting, NJ 08759-1337 | 2013-10-29 |
| 1770706137 | Optical Connection | Durable Medical Equipment & Medical Supplies | 108 Lacey Rd, Whiting, NJ 08759-1337 | 2007-04-11 |
| 1093863318 | John M. Sundheim,md LLC | Internal Medicine | 108 Lacey Rd, Suite 36, Whiting, NJ 08759-1337 | 2007-01-05 |
| 1679584114 | Barry R Perlman | Dentist | 108 Lacey Rd, Suite #28, Whiting, NJ 08759 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811471097 | Anthony's Exclusive Limousine | Private Vehicle | 20 Florence Drive, Renaissance Community, Manchsester, NJ 08759 | 2018-09-24 |
| 1619489077 | Audiology Services Company Usa, LLC | Clinic/Center | 70 Lacey Road Route 530, Irish Branch Plaza, Manchester Township, NJ 08759 | 2017-10-25 |
| 1053835371 | Renee Lynn Agro | Case Manager/Care Coordinator | 23 Arcadia Drive, Manchester Township, NJ 08759 | 2017-07-28 |
| 1891229563 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 713 Northhampton Boulevard, Manchester, NJ 08759 | 2017-04-19 |
| 1750829701 | The Open Door of New Jersey | Day Training, Developmentally Disabled Services | 2110 Route 70, Manchester, NJ 08759 | 2017-02-09 |
| 1205214277 | Monette Tresvalles Md LLC | Internal Medicine | 65 D Lacey Road, Whiting, NJ 08759 | 2015-05-11 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1104251438 | Meredith L Hardie | Physical Therapist | 63-h Lacey Road, Whiting, NJ 08759 | 2013-09-05 |
| 1982951380 | Crest Whiting Physical Therapy | Physical Medicine & Rehabilitation | 61 Lacey Road, Whiting, NJ 08759 | 2012-08-06 |
| 1366710592 | Barbara Celina Boudreau | Registered Nurse | 1228 Route 37 West, Holy Redeemer, Toms River, NJ 08759 | 2011-12-02 |
| Find all providers in zip 08759 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205208881 | Jessy Patel LLC | Pharmacy | 200 Lacey Rd, Whiting, NJ 08759-1333 | 2015-10-22 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1386736981 | New Jersey Cvs Pharmacy LLC | Pharmacy | 505 Route 530, Whiting, NJ 08759-3144 | 2006-09-29 |
| 1205857521 | Hook-superx, L.L.C. | Pharmacy | 1301 119th St, Whiting, IN 46394-1602 | 2006-07-21 |
| 1902057698 | Amkas Laboratories, Inc. | Pharmacy | 2075 Indianapolis Blvd, Whiting, IN 46394-1948 | 2008-10-01 |
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| 1720686900 | Rome Rx LLC | Pharmacy | 3131 Route 38 Ste 20, Mount Laurel, NJ 08054-9764 | 2020-10-11 |
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| 1578170569 | New Jersery Cvs Pharmacy LLC | Pharmacy | 750 Memorial Pkwy, Phillipsburg, NJ 08865-1679 | 2020-09-24 |
| 1770196693 | Dharmsutay LLC | Pharmacy | 1905 Route 88 Ste 5, Brick, NJ 08724-3156 | 2020-08-29 |
| 1598376030 | Westside Pharmacy LLC | Pharmacy | 455 West Side Ave, Jersey City, NJ 07304-1425 | 2020-08-10 |
| 1245848993 | Plaza Pharmacy Corp | Pharmacy | 84 Veronica Ave Ste A107, Somerset, NJ 08873-3529 | 2020-07-20 |
| 1285242008 | Cure Rx Pharmacy PC | Pharmacy | 600 Mule Rd Unit 2, Toms River, NJ 08757-6460 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
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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.