TEXAS ROAD OLD BRIDGE LLC NPI 1003004904

Pharmacy (Community/Retail Pharmacy) in Old Bridge, NJ

About TEXAS ROAD OLD BRIDGE LLC

Texas Road Old Bridge Llc is a provider in Old Bridge, NJ. The NPI number assigned to this provider is 1003004904. The practitioner's primary taxonomy code is Pharmacy (3336C0003X). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Texas Road Pharmacy.

NPI1003004904 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTEXAS ROAD OLD BRIDGE LLC
Provider Location Address1183 ENGLISHTOWN RD OLD BRIDGE, NJ 08857 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1183 ENGLISHTOWN RD OLD BRIDGE, NJ 08857 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization 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.
Other Organization NameTEXAS 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 TypeDoing Business As (3)
Enumeration Date10-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-11-2016 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

TEXAS ROAD OLD BRIDGE LLC
1183 ENGLISHTOWN RD
OLD BRIDGE, NJ
ZIP 08857
Phone: (732) 723-1101
Fax: (732) 723-1141
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Mailing Address

TEXAS ROAD OLD BRIDGE LLC
1183 ENGLISHTOWN RD
OLD BRIDGE, NJ
ZIP 08857
Phone: (732) 723-1101
Fax: (732) 723-1141

Primary Taxonomy

Taxonomy Code3336C0003X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.28RS00674300
License StateNJ
Taxonomy DescriptionA 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.

Authorized Official

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 TitleSECRETARY TREASURER
Authorized Official Phone(732) 723-1101

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1333600000XSuppliersPharmacyNo

Taxonomy Description: 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.

23336S0011XSuppliersPharmacySpecialty PharmacyNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2056179OTHER (01)
0162329MEDICAID (05)NJ
6061970001MEDICARE NSC (07)

Map Location


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