WESTGATE PHARMACY RX LLC (NPI# 1164575403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164575403 |
Entity Type | Organization |
Organization Name | WESTGATE PHARMACY RX LLC |
Other Organization Name | WESTGATE PHARMACY |
Practice Address |
112 Hillside Blvd Lakewood NJ 08701-3148 |
Practice Telephone | 7323702500 |
Practice Fax Number | 7322306939 |
Mailing Telephone | 7323702500 |
Mailing Fax Number | 7322562099 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2017-01-18 |
Authorized Official Name | DAVID SEGAL (MANG) |
Authorized Official Telephone | 7323702500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00670900 | NJ | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2158216 | 01 |
Other Name | Type Code |
---|---|
westgate pharmacy | Doing Business As Name - Organization |
Street Address |
112 HILLSIDE BLVD |
City | LAKEWOOD |
State | NJ |
Zip Code | 08701-3148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922579085 | Mindy Kertzner | Pharmacist | 112 Hillside Blvd, Lakewood, NJ 08701-3148 | 2018-12-16 |
1245742055 | Maple Rx LLC | Pharmacy | 112 Hillside Blvd, Lakewood, NJ 08701-3148 | 2017-11-02 |
1790232536 | Andrew Boyer | Pharmacist | 112 Hillside Blvd, Lakewood, NJ 08701-3148 | 2016-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
Find all providers in zip 08701 |
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 |
---|---|---|---|---|
1245843150 | Tommy Ho | Pharmacy | 5864 W Mexico Ave, Lakewood, CO 80232-7044 | 2020-08-28 |
1023410149 | Amr Pharmacy LLC | Pharmacy | 1195 Airport Rd Ste 9b, Lakewood, NJ 08701-5970 | 2014-09-19 |
1609126416 | New Jersey Cvs Pharmacy LLC | Pharmacy | 596 River Ave, Lakewood, NJ 08701 | 2012-09-19 |
1427327568 | Ghlt LLC | Pharmacy | 1195 Route 70, Lakewood, NJ 08701-5946 | 2011-12-19 |
1386881746 | Costco Wholesale Corporation | Pharmacy | 340 Lakewood Center Mall, Lakewood, CA 90712 | 2009-01-07 |
1881721736 | Taylor Drug LLC | Pharmacy | 123 Madison Ave, Lakewood, NJ 08701-3314 | 2007-02-27 |
1669529046 | Riser Foods Company | Pharmacy | 14100 Detroit Ave, Lakewood, OH 44107-4524 | 2007-01-05 |
1073605705 | New Jersey Cvs Pharmacy LLC | Pharmacy | 198 New Hampshire Ave, Lakewood, NJ 08701-3712 | 2006-09-29 |
1548363252 | Ohio Cvs Stores LLC | Pharmacy | 15501 Detroit Ave, Lakewood, OH 44107-3851 | 2006-09-07 |
1851347876 | Haggen Opco North LLC | Pharmacy | 8611 Steilacoom Blvd Sw, Lakewood, WA 98498-4716 | 2006-05-25 |
Find all providers in LAKEWOOD |
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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.