National Provider Identifier Database

VILLAGE SUPER MARKET OF NJ LP
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

VILLAGE SUPER MARKET OF NJ, L.P.
178 E HANOVER AVE
CEDAR KNOLLS, NJ07927
Phone: 973-539-3907
Fax: 973-538-3919
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for VILLAGE SUPER MARKET OF NJ, L.P.

NPI Number 1174663538
Legal business name
LBN
VILLAGE SUPER MARKET OF NJ, L.P.
Authorized official MELISSA FIGUEROA RIVERA - (THIRD PARTY ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/07/2007
Last updated 12/06/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: RS003355
  • NJ Medicaid: 4344901
  • NJ Other: 3124928 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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