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MEDICAL MALL RX INC NPI 1235140757


NPI Information

NPI: 1235140757
Provider Name: MEDICAL MALL RX INC

Doing Business As: MEDICAL MALL PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 31D2195340

Address:
9 HOSPITAL DR STE B3
TOMS RIVER, NJ
ZIP 08755
Phone: (732) 244-4747
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MEDICAL MALL RX INC is a community/retail pharmacy pharmacy in Toms River, 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. MEDICAL MALL RX INC NPI is 1235140757. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Mall Pharmacy.

The provider's business location address is:

9 HOSPITAL DR STE B3
TOMS RIVER, NJ
ZIP 08755-425
Phone: (732) 244-4747
Fax: (732) 244-4873

The provider's authorized official is Parthiv Shah .
The authorized official title is Owner and has the following contact phone number (732) 244-4747.

The CLIA number assigned to this NPI record is 31D2195340 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/3/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy28RS00191200NEW JERSEYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10482595MEDICAIDNEW JERSEY
27323040001MEDICARE NSC
32148314OTHERPK

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: 4/28/2024

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