1. Home
  2. Directory
  3. New Jersey
  4. Little Egg Harbor
  5. Pharmacy
  6. NPI Profile

MYSTIC PHARMACY INC
NPI 1083752216
Pharmacy in Little Egg Harbor, NJ

Active since February 01, 2007
972 RADIO RD, LITTLE EGG HARBOR, NJ 08087(609) 296-0934(609) 296-6250 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mystic Pharmacy Inc NPPES

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

MYSTIC PHARMACY INC (NPI 1083752216) is a healthcare organization registered as a pharmacy in Little Egg Harbor, New Jersey and active in the NPI registry since February 2007. The organization lists John Michael Ward, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1083752216
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMYSTIC PHARMACY INC
Location Address972 RADIO RDLittle Egg Harbor, NJ 08087
Mailing Address972 Radio RdLittle Egg Harbor, NJ 08087 · (609) 296-0934 · Fax (609) 296-6250
Phone(609) 296-0934
Fax(609) 296-6250
Organization SubpartNo
Authorized OfficialJohn Michael WardPharmacist In Charge · (609) 296-0934
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083752216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00391800
Definition
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.
972 RADIO RD, Little Egg Harbor, NJ 08087
Open in Google Maps ↗

Other Identifiers 1

Medicaid4337905NJ

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 Mystic Pharmacy Inc's NPI number?

The NPI number for Mystic Pharmacy Inc is 1083752216. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Mystic Pharmacy Inc located?

Mystic Pharmacy Inc is located at 972 Radio Rd, Little Egg Harbor, NJ 08087. The listed phone number is (609) 296-0934.

What is Mystic Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Mystic Pharmacy Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.