Provider Demographics
NPI:1942548730
Name:NEW ROAD PHARMACY AND SURGICAL INC
Entity Type:Organization
Organization Name:NEW ROAD PHARMACY AND SURGICAL INC
Other - Org Name:NEW ROAD PHARMACY & SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:WON JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:973-227-3937
Mailing Address - Street 1:69 NEW RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4206
Mailing Address - Country:US
Mailing Address - Phone:973-227-3937
Mailing Address - Fax:973-227-3917
Practice Address - Street 1:69 NEW RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4206
Practice Address - Country:US
Practice Address - Phone:973-227-3937
Practice Address - Fax:973-227-3917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6761700001Medicare NSC