Active NPIOrganization

Professional Compounding Center Of South Jersey

Pharmacy, Community/Retail Pharmacy in Medford, New Jersey

NPI Number1205933132
Practice location
639 Stokes RD, Medford, NJ 08055-3003
Fax
609-654-5899
Last updated
September 11, 2025

Professional Compounding Center Of South Jersey is a healthcare organization based in Medford, NJ. Professional Compounding Center Of South Jersey practices in Medford, NJ. The NPI Number for Professional Compounding Center Of South Jersey is 1205933132 and holds a License No. 28RS00619800 (NJ). The current practice location address for Professional Compounding Center Of South Jersey is 639 Stokes RD, Medford, NJ 08055-3003 and can be reached out via phone at 609-654-5222 and via fax at 609-654-5899.

Provider Profile Details

NPI Number
1205933132
Provider Name
Professional Compounding Center Of South Jersey
Provider Entity Type
Organization
Address
639 Stokes RD, Medford, NJ 08055-3003
Phone Number
609-654-5222
Fax Number
609-654-5899
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Emmett Mcvey · Pharmacist Owner · 609-654-5222
Other Names
Stokes Pharmacy (Doing Business As)
Provider Enumeration Date
September 20, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
639 Stokes RD
Medford, NJ 08055-3003
Zip
08055-3003
Phone Number
609-654-5222
Fax Number
609-654-5899
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
639 Stokes RD
Medford, NJ 08055-3003
City
Medford
State
NJ
Zip
08055-3003

License Information

License Number (1)
28RS00619800
License State (1)
NJ
Taxonomy (1)
Pharmacy · 333600000X
Taxonomy (2)
Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Professional Compounding Center Of South Jersey?

The NPI number of Professional Compounding Center Of South Jersey is 1205933132. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Professional Compounding Center Of South Jersey?

Professional Compounding Center Of South Jersey is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NJ under license number 28RS00619800.

Where does Professional Compounding Center Of South Jersey practice?

The practice location is 639 Stokes RD, Medford, NJ 08055-3003. The office can be reached at 609-654-5222 (phone) or 609-654-5899 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205933132 directly on the NPPES registry website.

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