Provider Demographics
NPI:1376823799
Name:QUALITY CARE PHARMACY LLC
Entity Type:Organization
Organization Name:QUALITY CARE PHARMACY LLC
Other - Org Name:QUALITY CARE PHARMACY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:YARMOLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-952-3280
Mailing Address - Street 1:2325 ROUTE 516
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-1893
Mailing Address - Country:US
Mailing Address - Phone:732-952-3280
Mailing Address - Fax:732-952-3281
Practice Address - Street 1:2325 ROUTE 516
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-1893
Practice Address - Country:US
Practice Address - Phone:732-952-3280
Practice Address - Fax:732-952-3281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-17
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0003X, 3336C0004X
NJ28RS00713400333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3198074OtherNCPDP PROVIDER IDENTIFICATION NUMBER
NJ6643260001Medicare NSC