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1689920498 NPI number — PEGASUS PHARMACY LLC

NPI Number: 1689920498
Health Care Provider/Practitioner: PEGASUS PHARMACY LLC

Information about “1689920498” NPI (PEGASUS PHARMACY LLC) exists in 1689920498 in HTML format HTML  |  1689920498 in plain Text format TXT  |  1689920498 in PDF (Portable Document Format) PDF  |  1689920498 in an XML format XML  formats.

NPI Number : 1689920498 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689920498",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PEGASUS PHARMACY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2050 SPRINGDALE RD.",
    "SecondLineMailingAddress": "UNIT 500",
    "MailingAddressCityName": "CHERRY HILL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08003",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-528-3900",
    "MailingAddressFaxNumber": "856-424-2096",
    "FirstLinePracticeLocationAddress": "2050 SPRINGDALE RD",
    "SecondLinePracticeLocationAddress": "UNIT 500",
    "PracticeLocationAddressCityName": "CHERRY HILL",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08003-2045",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-528-3900",
    "PracticeLocationAddressFaxNumber": "856-424-2096",
    "EnumerationDate": "07/30/2012",
    "LastUpdateDate": "09/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MORTON",
    "AuthorizedOfficialFirstName": "JOEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RPH",
    "AuthorizedOfficialTelephoneNumber": "602-561-6432",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0004X",
          "TaxonomyName": "Compounding Pharmacy",
          "LicenseNumber": "28RS00723000",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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