Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BRADLEY BEACH PAHRAMCY INC.
Active
Organization
BRADLEY BEACH PAHRAMCY INC.
Active
Other names
BRADLEY BEACH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YATMAN KEUNG (PRESIDENT)
(732) 774-7174
Entity
Organization
Contact information
Practice address
128 MAIN ST, BRADLEY BEACH, NJ 07720-1030
(732) 774-7174
(732) 774-7175
Mailing address
128 MAIN ST, BRADLEY BEACH, NJ 07720-1030
(732) 774-7174
(732) 774-7175
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00380000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058285
PK
—
05
—
4372808
—
NJ
Enumeration date
12/26/2006
Last updated
11/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers