Healthcare Provider Details

I. General information

NPI: 1508244237
Provider Name (Legal Business Name): PARTNERS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VETERANS WAY
PARAMUS NJ
07652-4100
US

IV. Provider business mailing address

1 VETERANS WAY
PARAMUS NJ
07652-4100
US

V. Phone/Fax

Practice location:
  • Phone: 201-644-1003
  • Fax:
Mailing address:
  • Phone: 201-644-1003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number28RS00740400
License Number StateNJ

VII. Legacy identifiers

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

VIII. Authorized Official

Name: JAMES MATTHEWS
Title or Position: COO
Credential:
Phone: 609-206-2664