SOUTH ORANGE PHARMACY LLC (NPI# 1861643561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861643561 |
| Entity Type | Organization |
| Organization Name | SOUTH ORANGE PHARMACY LLC |
| Other Organization Name | SOUTH ORANGE PHARMACY |
| Practice Address |
73 S Orange Ave South Orange NJ 07079-1715 |
| Practice Telephone | 9738215414 |
| Practice Fax Number | 9732755220 |
| Mailing Telephone | 9738215414 |
| Mailing Fax Number | 9732755220 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | CHRISTOPHER OTTO (OWNER) |
| Authorized Official Telephone | 9738215414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00687000 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6227070001 | 05 | |
| PK | 2117729 | 01 | |
| NJ | 0193381 | 05 |
| Other Name | Type Code |
|---|---|
| South Orange Pharmacy | Doing Business As Name - Organization |
| Street Address |
73 S ORANGE AVE |
| City | SOUTH ORANGE |
| State | NJ |
| Zip Code | 07079-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588759187 | Joseph A Loiacono | Pharmacist | 73 S Orange Ave, South Orange, NJ 07079-1715 | 2006-10-03 |
| 1598206872 | Tucker Drugs Inc | Pharmacy | 73 S Orange Ave, South Orange, NJ 07079 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946216 | Melissa Marie Johnson | Counselor | 9 Vose Avenue, South Orange, NJ 07079 | 2020-09-15 |
| 1730663493 | Private Quarters Hair Salon LLC | Prosthetic/Orthotic Supplier | 12 Academy Street, South Orange, NJ 07079 | 2018-09-19 |
| 1457731085 | Jespy House Inc. | Day Training, Developmentally Disabled Services | 343 Academy Street, South Orange, NJ 07079 | 2015-06-09 |
| 1760876460 | Dianne Marie Aguero-trotter | Psychologist | 400 South Orange Ave, South Orange, NJ 07079 | 2015-03-20 |
| 1679815922 | Beth L Sosin | Obstetrics & Gynecology | South Orange Ob/gyn & Infertility Group, 106 Valley Street, Ramp Entrance, South Orange, NJ 07079 | 2013-03-25 |
| 1790061745 | Obianuju Rita Mbamalu | Dentist | 71 Valley St Ste 100, South Orange, NJ 07079 | 2011-10-21 |
| 1669765061 | Aba 4 U | Behavioral Analyst | 4 South Orange Avenue Box 189, South Orange, NJ 07079 | 2011-05-18 |
| 1598903882 | Guiding Hands Pediatrics | Pediatrics | 179 Irvington Avenue, South Orange, NJ 07079 | 2009-01-26 |
| 1417161647 | Rosalyn Myrna Shapiro | Counselor | 346 Harding Drive, So Orange, NJ 07079 | 2007-05-09 |
| 1821200403 | Donald Raymond Reeves Jr. | Psychiatry & Neurology | 112 Raymond Avenue, South Orang, NJ 07079 | 2007-05-04 |
| Find all providers in zip 07079 | ||||
| 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 |
|---|---|---|---|---|
| 1659415313 | William R Calabrese Inc | Pharmacy | 23 Scotland Rd, South Orange, NJ 07079-2016 | 2007-02-16 |
| 1629593058 | Walgreen Co | Pharmacy | 139 S Orange Ave, South Orange, NJ 07079-1901 | 2017-08-07 |
| 1598206872 | Tucker Drugs Inc | Pharmacy | 73 S Orange Ave, South Orange, NJ 07079 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1881292894 | Morristown Rx LLC | Pharmacy | 95 Madison Ave Ste 110, Morristown, NJ 07960-7331 | 2020-10-12 |
| 1720686900 | Rome Rx LLC | Pharmacy | 3131 Route 38 Ste 20, Mount Laurel, NJ 08054-9764 | 2020-10-11 |
| 1255939492 | Jj Pharmacy | Pharmacy | 119 Broad Ave, Palisades Park, NJ 07650-1441 | 2020-10-10 |
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 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 | ||||
| City | SOUTH ORANGE |
| Zip Code | 07079 |
Please comment or provide details below to improve the information on SOUTH ORANGE PHARMACY LLC.
| 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.