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BOP RX INC NPI 1790295616


NPI Information

NPI: 1790295616
Provider Name: BOP RX INC

Doing Business As: BLACK OAK PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 31D2204985

Address:
879 BLACK OAK RIDGE RD UNIT 2
WAYNE, NJ
ZIP 07470
Phone: (973) 837-8770
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BOP RX INC is a community/retail pharmacy pharmacy in Wayne, 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. BOP RX INC NPI is 1790295616. The provider is registered as an organization entity type.
The provider Is Doing Business As Black Oak Pharmacy.

The provider's business location address is:

879 BLACK OAK RIDGE RD UNIT 2
WAYNE, NJ
ZIP 07470-400
Phone: (973) 837-8770
Fax: (973) 837-8771

The provider's authorized official is Jonathan Ruditser .
The authorized official title is Vice President and has the following contact phone number (973) 837-8770.

The CLIA number assigned to this NPI record is 31D2204985 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2017 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy28RS00759100NEW 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
10606014MEDICAIDNEW JERSEY
22171984OTHERPK

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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