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PLYMOUTH PARK PHARMACY INC
NPI 1023053469
Pharmacy - Community/Retail Pharmacy in Fair Lawn, NJ

Active since June 19, 2006
11 12 SADDLE RIVER RD, FAIR LAWN, NJ 07410(201) 797-0006(201) 797-0007 Get Directions Write a Review

NPPES record last updated: October 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2019, Nov 13, 2018, Nov 23, 2016 (3 updates tracked since 2016).

About Plymouth Park Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLYMOUTH PARK PHARMACY INC (NPI 1023053469) is a healthcare organization registered as a community/retail pharmacy in Fair Lawn, New Jersey and active in the NPI registry since June 2006. The organization lists Bryan Scott Piskadlo, President, as its authorized official.

NPPES Registry Identity

NPI1023053469
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePLYMOUTH PARK PHARMACY INC
Location Address11 12 SADDLE RIVER RDFair Lawn, NJ 07410-5786
Mailing Address11 12 Saddle River RdFair Lawn, NJ 07410-5786 · (201) 797-0006 · Fax (201) 797-0007
Phone(201) 797-0006
Fax(201) 797-0007
Organization SubpartNo
Authorized OfficialBryan Scott PiskadloPresident · (201) 797-0006
Enumeration DateJune 19, 2006
Last NPPES UpdateOctober 13, 20193 updates tracked since enumeration
✔ NPI 1023053469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NJ · 28RS001207900
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
11 12 SADDLE RIVER RD, Fair Lawn, NJ 07410
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Other Identifiers 2

Other2055710Pk
Medicaid0698628NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services48 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
47 services46 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Plymouth Park Pharmacy carries, from the Medicare DMEPOS supplier directory.

Plymouth Park Pharmacy

DMEPOS supplier · Fair Lawn, NJOperated by Plymouth Park Pharmacy Inc
⋮

Does not accept Medicare assignment

Plymouth Park Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20662865
Medicare Participant SinceJanuary 1, 1998
Supplier Location11-12 Saddle River RdFair Lawn, NJ 07410
Phone(201) 797-0006
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plymouth Park Pharmacy Inc's NPI number?

The NPI number for Plymouth Park Pharmacy Inc is 1023053469. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Plymouth Park Pharmacy Inc located?

Plymouth Park Pharmacy Inc is located at 11 12 Saddle River Rd, Fair Lawn, NJ 07410. The listed phone number is (201) 797-0006.

What is Plymouth Park Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Plymouth Park Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Plymouth Park Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Plymouth Park Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Plymouth Park Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Plymouth Park Pharmacy Inc was last updated on October 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.