TEXAS ROAD OLD BRIDGE LLC NPI 1003004904

Pharmacy (Specialty Pharmacy)

TEXAS ROAD OLD BRIDGE LLC

Texas Road Old Bridge Llc is a pharmacy in Old Bridge, NJ. Texas Road Old Bridge Llc NPI is 1003004904. The provider's taxonomy code is 3336S0011X - Pharmacy.The provider is doing business as is Texas Road Pharmacy. A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003004904
Provider Name: TEXAS ROAD OLD BRIDGE LLC
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 10-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 03-11-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Other Organization Name: TEXAS ROAD PHARMACY Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Other Name Type: Doing Business As (3)

Authorized Official Name: CHRISTOPHER SOCHA RPH Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: SECRETARY TREASURER
Authorized Official Phone: (732) 723-1101


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
13336S0011X Additional informationCallout TooltipTaxonomy Code - 3336S0011X
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
SuppliersPharmacySpecialty PharmacyNo
2333600000X Additional informationCallout TooltipTaxonomy Code - 333600000X
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
SuppliersPharmacyNo
33336C0003X Additional informationCallout TooltipTaxonomy Code - 3336C0003X
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
SuppliersPharmacyCommunity/Retail Pharmacy28RS00674300NJYes

Map Location


TEXAS ROAD OLD BRIDGE LLC address is 1183 ENGLISHTOWN RD OLD BRIDGE, NJ 08857 Get Directions