1. Home
  2. Directory
  3. New Jersey
  4. South Amboy
  5. Pharmacy
  6. NPI Profile

MADURA PHARMACY LLC
NPI 1699710079
Pharmacy - Community/Retail Pharmacy in South Amboy, NJ

Active since June 18, 2006CLIA 31D2241462 · Waiver
115 N BROADWAY, SOUTH AMBOY, NJ 08879(732) 721-1732(732) 721-5840 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madura Pharmacy Llc NPPES

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

MADURA PHARMACY LLC (NPI 1699710079) is a healthcare organization registered as a community/retail pharmacy in South Amboy, New Jersey and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Anne Wolpin, Auth Rep, as its authorized official.

NPPES Registry Identity

NPI1699710079
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMADURA PHARMACY LLC
Location Address115 N BROADWAYSouth Amboy, NJ 08879-1660
Mailing Address115 N BroadwaySouth Amboy, NJ 08879-1660 · (732) 721-1732 · Fax (732) 721-5840
Phone(732) 721-1732
Fax(732) 721-5840
Organization SubpartNo
Authorized OfficialAnne WolpinAuth Rep · (732) 721-1732
Enumeration DateJune 18, 2006
Last NPPES UpdateJune 16, 2011
✔ NPI 1699710079 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 · 28RS00116700
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
115 N BROADWAY, South Amboy, NJ 08879
Open in Google Maps ↗

Other Names 1

Doing Business AsMadura Pharmacy Llc

Other Identifiers 3

Medicaid4249801NJ
Medicare NSC6078900001
Other3115234Ncpdp Provider Identification Number

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 31D2241462

Madura Rx LLC Dba Madura Pharmacy · South Amboy, NJ
Active · expires Oct 27, 2027
CLIA Number31D2241462
Laboratory TypePharmacy
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorSudhir Patel
Laboratory Phone(732) 721-1732
Laboratory LocationMadura Rx LLC Dba Madura Pharmacy115 N Broadway, South Amboy, NJ 08879
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

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

Madura Pharmacy

DMEPOS supplier · South Amboy, NJOperated by Madura Rx LLC
✔

Accepts Medicare assignment

Madura Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20479271
Medicare Participant SinceJanuary 15, 2016
Supplier Location115 N BroadwaySouth Amboy, NJ 08879
Phone(732) 721-1732
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.

Other Providers at the Same Location NPPES 4

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

TRUPTI B PATEL PHARM.D.
Pharmacist
115 N BROADWAY
SOUTH AMBOY, NJ 08879
Middlesex County (732) 721-1732
MARY LOU HARRIS RPH
Pharmacist
115 N BROADWAY
SOUTH AMBOY, NJ 08879
Middlesex County (732) 721-1732
MADURA RX LLC
Pharmacy (Long Term Care Pharmacy)
115 N BROADWAY
SOUTH AMBOY, NJ 08879
Middlesex County (732) 721-1732
MADURA RX LLC
Pharmacy
115 N BROADWAY
SOUTH AMBOY, NJ 08879
Middlesex County (732) 721-1732

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 Madura Pharmacy LLC's NPI number?

The NPI number for Madura Pharmacy LLC is 1699710079. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Madura Pharmacy LLC located?

Madura Pharmacy LLC is located at 115 N Broadway, South Amboy, NJ 08879. The listed phone number is (732) 721-1732.

What is Madura Pharmacy LLC's specialty?

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

Does Madura Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Madura Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Madura Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2241462) is associated with this NPI, valid through October 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Madura Pharmacy LLC was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.