Provider Demographics
NPI:1609100726
Name:REEF FAMILY PHARMACY LLC
Entity Type:Organization
Organization Name:REEF FAMILY PHARMACY LLC
Other - Org Name:REEF FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:REEF
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:609-465-0004
Mailing Address - Street 1:1037 ROUTE 9 SOUTH
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210
Mailing Address - Country:US
Mailing Address - Phone:609-465-0004
Mailing Address - Fax:609-465-0045
Practice Address - Street 1:1037 ROUTE 9 SOUTH
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210
Practice Address - Country:US
Practice Address - Phone:609-465-0004
Practice Address - Fax:609-465-0045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00696800333600000X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3196412OtherNCPDP PROVIDER IDENTIFICATION NUMBER