Provider Demographics
NPI:1265657290
Name:PHARMSCRIPT LLC
Entity Type:Organization
Organization Name:PHARMSCRIPT LLC
Other - Org Name:PHARMSCRIPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-389-1818
Mailing Address - Street 1:150 PIERCE STREET
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4185
Mailing Address - Country:US
Mailing Address - Phone:908-389-1818
Mailing Address - Fax:732-868-9014
Practice Address - Street 1:150 PIERCE STREET
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4185
Practice Address - Country:US
Practice Address - Phone:908-389-1818
Practice Address - Fax:732-868-9014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336I0012X
NJ28RS006670003336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2056076OtherPK
PA1023809770001Medicaid
DE1265657290Medicaid
NY03105002Medicaid
NJ0211052Medicaid
6212600001Medicare NSC