Provider Demographics
NPI:1215003074
Name:THE NEW MILLENNIUM PHARMACY, INC
Entity type:Organization
Organization Name:THE NEW MILLENNIUM PHARMACY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VOLPINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-539-5511
Mailing Address - Street 1:158 SPEEDWELL AVE
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-2316
Mailing Address - Country:US
Mailing Address - Phone:973-539-5511
Mailing Address - Fax:973-292-1202
Practice Address - Street 1:158 SPEEDWELL AVE
Practice Address - Street 2:
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950-2316
Practice Address - Country:US
Practice Address - Phone:973-539-5511
Practice Address - Fax:973-292-1202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00580500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8295417OtherDURABLE MEDICAL EQUIPMENT
NJ8295409Medicaid
NJ8295417OtherDURABLE MEDICAL EQUIPMENT