Healthcare Provider Details

I. General information

NPI: 1356884670
Provider Name (Legal Business Name): HEALTHYBENEFITSRX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2016
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 STATE ROUTE 27 SUITE 1
SOMERSET NJ
08873-3838
US

IV. Provider business mailing address

2013 STATE ROUTE 27 SUITE 1
SOMERSET NJ
08873-3838
US

V. Phone/Fax

Practice location:
  • Phone: 732-951-1002
  • Fax: 732-951-1005
Mailing address:
  • Phone: 732-951-1002
  • Fax: 732-951-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28RS00754500
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AKINWUNMI ODUSOLA
Title or Position: PHARMACIST/PHARMACIST IN CHARGE
Credential:
Phone: 732-951-1002