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Export Provider Record NPI 1285799619
Bradley Beach Pahramcy Inc.
Organization Subpart: NO
Active
NPI Number1285799619
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1285799619
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-12-26
Last Updated2016-11-15
Authorized OfficialYatman Keung
PRESIDENT
Phone: 7327747174
Mailing Address128 Main St
Bradley Beach, NJ 07720-1030
United States
Phone: (732) 774-7174 | Fax: (732) 774-7175
📍 View Map
Primary Practice Address128 Main St
Bradley Beach, NJ 07720-1030
United States
Phone: (732) 774-7174 | Fax: (732) 774-7175
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2058285PK
MEDICAIDNJ4372808-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyNJ28RS00380000
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About NPI 1285799619

Bradley Beach Pahramcy Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1285799619. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Bradley Beach, NJ. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1285799619?

NPI 1285799619 belongs to Bradley Beach Pahramcy Inc., a Pharmacy, Community/Retail Pharmacy in Bradley Beach, NJ. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1285799619 active?

The current status of NPI 1285799619 in the NPPES registry is Active. The record was last updated on 2016-11-15.

What specialty is NPI 1285799619?

NPI 1285799619 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1285799619?

You can verify NPI 1285799619 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1285799619?

The primary practice address on file for NPI 1285799619 is 128 Main St, Bradley Beach, NJ 07720-1030. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1285799619 issued?

NPI 1285799619 was first issued (enumerated) on 2006-12-26. The NPPES record was last updated on 2016-11-15.

Practice Location Map

Bradley Beach Pahramcy Inc. is located at 128 Main St, Bradley Beach, NJ. Use the map below to find directions or verify the practice location.

📍 128 Main St, Bradley Beach, NJ 07720-1030  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Bradley Beach Pahramcy Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1285799619. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy28RS00380000NJ
Data Verified from CMS NPPES Last synced: 2026-08-02 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162