TICETOWN PHARMACY & SURGICAL INC NPI 1215169768

NPI Information

  • NPI: 1215169768
  • Provider Name: TICETOWN PHARMACY & SURGICAL INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: THE WELLNESS CENTER PHARMACY & SURGICAL
  • Address: 3117 US HIGHWAY 9
    OLD BRIDGE, NJ
    ZIP 08857
  • Phone: (732) 679-3555

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NPI Details

TICETOWN PHARMACY & SURGICAL INC is a community/retail pharmacy pharmacy in Old Bridge, NJ. The provider is 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. TICETOWN PHARMACY & SURGICAL INC NPI is 1215169768. The provider is registered as an organization entity type.
The provider Is Doing Business As The Wellness Center Pharmacy & Surgical.

The provider's business location address is:

3117 US HIGHWAY 9
OLD BRIDGE, NJ
ZIP 08857-690
Phone: (732) 679-3555
Fax: (732) 679-6797

The provider's authorized official is Bhavini Patel .
The authorized official title is President and has the following contact phone number (732) 679-3555.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 8/18/2009 and was last updated on 7/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies28RS00700600NEW JERSEYNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding Pharmacy034759NEW YORKNo
43336L0003XPharmacyLong Term Care PharmacyNo
53336S0011XPharmacySpecialty PharmacyNo
63336C0003XPharmacyCommunity/Retail Pharmacy12392NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10231169MEDICAIDNEW JERSEY
22121584OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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