Healthcare Provider Details

I. General information

NPI: 1619296761
Provider Name (Legal Business Name): PARKWAY PHARMACY LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 09/02/2020
Certification Date: 09/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3502 US HIGHWAY 9
HOWELL NJ
07731-3345
US

IV. Provider business mailing address

3502 US HIGHWAY 9
HOWELL NJ
07731-3345
US

V. Phone/Fax

Practice location:
  • Phone: 866-355-7797
  • Fax: 888-551-6289
Mailing address:
  • Phone: 866-355-7797
  • Fax: 888-551-6289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberNRX0001118
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPO6148
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number1053
License Number StateNE
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number4200
License Number StateIA
# 6
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number0214001769
License Number StateVA
# 7
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number12735
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number022-032200
License Number StateNY
# 9
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberNP000133
License Number StatePA
# 10
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number17174
License Number StateSC
# 11
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number5301010582
License Number StateMI
# 12
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPCN-0002571
License Number StateCT
# 13
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPHN11258
License Number StateRI
# 14
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number36.018647
License Number StateVT
# 15
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number28RS00706300
License Number StateNJ

VIII. Authorized Official

Name: ALAN BLEZNICK
Title or Position: CHIEF OPERATING OFFICER
Credential: BSPHARM RPHCSP
Phone: 866-355-7797