Active NPIOrganization

Fresh Emporium Food Market, Corp

Pharmacy in Lake Hopatcong, New Jersey

NPI Number1407392343
Practice location
757 State Route 15 S, Lake Hopatcong, NJ 07849-2284
Fax
—
Last updated
January 17, 2017

Fresh Emporium Food Market, Corp is a healthcare organization based in Lake Hopatcong, NJ. Fresh Emporium Food Market, Corp practices in Lake Hopatcong, NJ. The NPI Number for Fresh Emporium Food Market, Corp is 1407392343 and holds a License No. 28RS00753600 (NJ). The current practice location address for Fresh Emporium Food Market, Corp is 757 State Route 15 S, Lake Hopatcong, NJ 07849-2284 and can be reached out via phone at 862-803-9027.

Provider Profile Details

NPI Number
1407392343
Provider Name
Fresh Emporium Food Market, Corp
Provider Entity Type
Organization
Address
757 State Route 15 S, Lake Hopatcong, NJ 07849-2284
Phone Number
862-803-9027
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
No
Authorized Official
Paul Granger · Director Of Pharmacy · 717-324-4924
Other Names
Fresh Imperium Pharmacy Jefferson (Doing Business As)
Provider Enumeration Date
January 17, 2017
Last Update Date
January 17, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
757 State Route 15 S
Lake Hopatcong, NJ 07849-2284
Zip
07849-2284
Phone Number
862-803-9027
Lake Hopatcong, NJ 07849Get directions →

Provider Business Mailing Address Details

Address
757 State Route 15 S
Lake Hopatcong, NJ 07849-2284
City
Lake Hopatcong
State
NJ
Zip
07849-2284
Phone Number
862-803-9027

License Information

Taxonomy (1)
Pharmacy, Community/Retail Pharmacy · 3336C0003X
License Number (2)
28RS00753600
License State (2)
NJ
Taxonomy (2)
Pharmacy · 333600000X · 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 Fresh Emporium Food Market, Corp?

The NPI number of Fresh Emporium Food Market, Corp is 1407392343. It was assigned on January 17, 2017 and is currently active in the NPPES registry.

What is the specialty of Fresh Emporium Food Market, Corp?

Fresh Emporium Food Market, Corp is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 28RS00753600.

Where does Fresh Emporium Food Market, Corp practice?

The practice location is 757 State Route 15 S, Lake Hopatcong, NJ 07849-2284. The office can be reached at 862-803-9027 (phone).

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 1407392343 directly on the NPPES registry website.

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