Provider Demographics
NPI:1497079115
Name:OCEAN PHARMACY LLC.
Entity Type:Organization
Organization Name:OCEAN PHARMACY LLC.
Other - Org Name:OCEAN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER LLC
Authorized Official - Prefix:
Authorized Official - First Name:SAUMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-566-3304
Mailing Address - Street 1:862 ASBURY AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-3612
Mailing Address - Country:US
Mailing Address - Phone:609-399-3535
Mailing Address - Fax:609-399-7254
Practice Address - Street 1:862 ASBURY AVE
Practice Address - Street 2:
Practice Address - City:OCEAN CITY
Practice Address - State:NJ
Practice Address - Zip Code:08226-3612
Practice Address - Country:US
Practice Address - Phone:609-399-3535
Practice Address - Fax:609-399-7254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NJ28RS000944003336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3196828OtherNCPDP PROVIDER IDENTIFICATION NUMBER