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PALMYRA PHARMACY
NPI 1689922569
Pharmacy - Community/Retail Pharmacy in Palmyra, NJ

Active since August 27, 2012CLIA 31D2195341 · Waiver
1 E BROAD ST, PALMYRA, NJ 08065(856) 786-1615(856) 786-2317 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2020, Jul 14, 2016 (2 updates tracked since 2016).

About Palmyra Pharmacy NPPES

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

PALMYRA PHARMACY (NPI 1689922569) is a healthcare organization registered as a community/retail pharmacy in Palmyra, New Jersey and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Jitenkumar P Nathani, President, as its authorized official.

NPPES Registry Identity

NPI1689922569
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePALMYRA PHARMACY LLC
Location Address1 E BROAD STPalmyra, NJ 08065-1604
Mailing Address1 E Broad StPalmyra, NJ 08065-1604 · (856) 786-1615 · Fax (856) 786-2317
Phone(856) 786-1615
Fax(856) 786-2317
Organization SubpartNo
Authorized OfficialJitenkumar P NathaniPresident · (856) 786-1615
Enumeration DateAugust 27, 2012
Last NPPES UpdateAugust 18, 20202 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1689922569 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 · 28RS00720700
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
1 E BROAD ST, Palmyra, NJ 08065
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Other Names 1

Doing Business AsPalmyra Pharmacy

Other Identifiers 2

Other2136832Pk
Medicaid0316229NJ

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2195341

Palmyra Pharmacy · Palmyra, NJ
Active · expires Oct 7, 2026
CLIA Number31D2195341
Laboratory TypePharmacy
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorJitenkumar P. Nathani
Laboratory Phone(856) 786-1615
Laboratory LocationPalmyra Pharmacy1 E Broad Street, Palmyra, NJ 08065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
119 services117 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
116 services116 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERNCO INC
Pharmacy (Community/Retail Pharmacy)
1 E BROAD ST
PALMYRA, NJ 08065
Burlington County (856) 829-1597
PALMYRA PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
1 E BROAD ST
PALMYRA, NJ 08065
Burlington County (856) 786-1615

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 Palmyra Pharmacy LLC's NPI number?

The NPI number for Palmyra Pharmacy LLC is 1689922569. It was assigned to this organization in the NPPES registry on August 27, 2012. The provider is doing business as Palmyra Pharmacy.

Where is Palmyra Pharmacy LLC located?

Palmyra Pharmacy LLC is located at 1 E Broad St, Palmyra, NJ 08065. The listed phone number is (856) 786-1615.

What is Palmyra Pharmacy LLC's specialty?

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

Does Palmyra Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2195341) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Palmyra Pharmacy LLC 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 47 other insurers list Palmyra Pharmacy LLC 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 Palmyra Pharmacy LLC was last updated on August 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.