PETER PAN PHARMACY INC NPI 1508904640

NPI Information

  • NPI: 1508904640
  • Provider Name: PETER PAN PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: PETER PAN PHARMACY
  • Address: 2125 PARK AVE
    S PLAINFIELD, NJ
    ZIP 07080
  • Phone: (908) 754-7607

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NPI Details

PETER PAN PHARMACY INC is a community/retail pharmacy pharmacy in S Plainfield, 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. PETER PAN PHARMACY INC NPI is 1508904640. The provider is registered as an organization entity type.
The provider Is Doing Business As Peter Pan Pharmacy.

The provider's business location address is:

2125 PARK AVE
S PLAINFIELD, NJ
ZIP 07080-401
Phone: (908) 754-7607
Fax: (908) 754-9106

The provider's authorized official is David Kornas .
The authorized official title is Owner and has the following contact phone number (908) 754-7607.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 8/10/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy28RS00323500NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12056494OTHERPK
24253906MEDICAIDNEW JERSEY
30897430001MEDICARE NSC

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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