Provider Demographics
NPI:1457423162
Name:IPPC INC.
Entity Type:Organization
Organization Name:IPPC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:KORN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH (REGISTERED PHAR
Authorized Official - Phone:732-617-8686
Mailing Address - Street 1:703 GINESI DRIVE
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1235
Mailing Address - Country:US
Mailing Address - Phone:732-617-8686
Mailing Address - Fax:732-536-5465
Practice Address - Street 1:703 GINESI DRIVE
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1235
Practice Address - Country:US
Practice Address - Phone:732-617-8686
Practice Address - Fax:732-536-5465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00571300183500000X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3141140OtherNABP
NJ7941404Medicaid
NY02723857Medicaid
NJ7941412Medicaid
NJ3879580001Medicare NSC