Madura Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in South Amboy, NJ. Organization (NPI-2).
NPI number1699710079
StatusActive
Last updated in NPPESJun 16, 2011
Details
- NPI
- 1699710079
- Entity type
- Organization (NPI-2)
- Legal business name
- Madura Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jun 18, 2006
- Last updated
- Jun 16, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 28RS00116700 | NJ | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Madura Pharmacy LLC (Doing Business As)
Practice location
115 N BroadwaySouth Amboy, NJ 08879-1660
Phone 732-721-1732 · Fax 732-721-5840
Mailing address
115 N BroadwaySouth Amboy, NJ 08879-1660
Phone 732-721-1732 · Fax 732-721-5840
Authorized official
Anne Wolpin
Auth Rep
7327211732
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Retail Pharmacy providers in South Amboy, NJ
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.