TOWN & COUNTRY COMPOUNDING AND CONSULTATION SERVICES LLC (NPI# 1003022203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003022203 |
Entity Type | Organization |
Organization Name | TOWN & COUNTRY COMPOUNDING AND CONSULTATION SERVICES LLC |
Practice Address |
106 Prospect St 1st Floor Ridgewood NJ 07450-4433 |
Practice Telephone | 2014472020 |
Practice Fax Number | 2014473253 |
Mailing Telephone | 2014472020 |
Mailing Fax Number | 2014473253 |
Enumeration Date | 2007-05-15 |
Last Update Date | 2014-08-29 |
Authorized Official Name | JOHN J HERR (PRESIDENT) |
Authorized Official Telephone | 2014472020 |
Authorized Official Credential | RPH, FIACP, RPIC |
Is Organization Subpart | Y |
Parent Organization Name | TOWN & COUNTRY COMPOUNDING AND CONSULTATION LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
RS00624100 | NJ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | NCPDP | 3145287 | 01 |
NJ | STORE LICENSE | RS00624100 | 01 |
Street Address |
106 PROSPECT ST 1ST FLOOR |
City | RIDGEWOOD |
State | NJ |
Zip Code | 07450-4433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912956905 | Family Physician, LLC | Family Medicine | 106 Prospect St, Ridgewood, NJ 07450-4433 | 2006-05-08 |
1609167493 | Town & Country Compounding and Consultation LLC, Series T&c Neuromax | Pharmacy | 106 Prospect St, Ridgewood, NJ 07450-4433 | 2011-04-27 |
1477571826 | Family Medical Practice II | Family Medicine | 106 Prospect St, Ridgewood, NJ 07450 | 2006-07-17 |
1528098068 | Marjorie Marie Condon | Family Medicine | 106 Prospect St, Ridgewood, NJ 07450 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
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Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588994230 | Ard Pharmacy LLC | Pharmacy | 6061 Myrtle Ave, Ridgewood, NY 11385-5908 | 2009-12-31 |
NPI | Name | Taxonomy | Address | Enumeration |
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1457812729 | Ivia Health LLC | Pharmacy | 828 N Olden Ave Ste 3, Trenton, NJ 08638-4902 | 2019-03-28 |
1245705995 | Pharmaplus Infusion LLC | Pharmacy | 10 S New Prospect Rd Unit 6, Jackson, NJ 08527-1651 | 2018-10-09 |
1033696505 | Linwood Rx LLC | Pharmacy | 55 Mill St Ste 7, Newton, NJ 07860-1457 | 2018-07-26 |
1972058535 | Jenev Enterprises LLC | Pharmacy | 477 State Route 10 Unit 13, Randolph, NJ 07869-2142 | 2016-08-23 |
1033560917 | St Maria Pharmacy | Pharmacy | 1093 Ave C, Bayonne, NJ 07002 | 2016-06-22 |
1669861761 | London Private LLC | Pharmacy | 989 Bloomfield Ave, Glen Ridge, NJ 07028-1301 | 2015-01-13 |
1770981961 | Red Bank Family Pharmacy Inc | Pharmacy | 141 Broad St, Red Bank, NJ 07701-1923 | 2014-12-20 |
1881932093 | H & A LLC | Pharmacy | 3712 Park Ave, Weehawken, NJ 07086-6033 | 2013-01-23 |
1518227347 | Pompton Pharmacy Corporation | Pharmacy | 720 Hamburg Tpke, Pompton Lakes, NJ 07442-1434 | 2012-05-27 |
1285919571 | Jolins Pharmacy | Pharmacy | 412 Sicklerville Rd Ste 103, Sicklerville, NJ 08081-2557 | 2011-10-18 |
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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.