Healthcare Provider Details

I. General information

NPI: 1376823799
Provider Name (Legal Business Name): QUALITY CARE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 05/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 ROUTE 516
OLD BRIDGE NJ
08857-1893
US

IV. Provider business mailing address

2325 ROUTE 516
OLD BRIDGE NJ
08857-1893
US

V. Phone/Fax

Practice location:
  • Phone: 732-952-3280
  • Fax: 732-952-3281
Mailing address:
  • Phone: 732-952-3280
  • Fax: 732-952-3281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00713400
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier3198074
Identifier TypeOTHER
Identifier State
Identifier IssuerNCPDP PROVIDER IDENTIFICATION NUMBER

VIII. Authorized Official

Name: JOSEPH YARMOLINSKY
Title or Position: OWNER
Credential:
Phone: 732-952-3280