Imprimisrx Nj, Llc
Pharmacy
1705 Route 46 Ste 4, Ledgewood
New Jersey, 07852-9720
844-446-6979 855-405-4669
Imprimisrx Nj, Llc is a Pharmacy in Ledgewood, New Jersey. It is located at 1705 Route 46 Ste 4, Ledgewood and it's customer support contact number is 844-446-6979. The authorized person of Imprimisrx Nj, Llc is Mr. Andrew Richard Boll who is Secretary & Cfo of the pharmacy and his contact number is 858-704-4040. Active license number of Imprimisrx Nj, Llc is 28RS00593300 for Pharmacy in New Jersey. Imprimisrx Nj, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Imprimisrx Nj, Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Imprimisrx Nj, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Imprimisrx Nj, Llc |
| Type: | Pharmacy |
| Location: | 1705 Route 46 Ste 4, Ledgewood,
New Jersey, 07852-9720 |
| Phone: | 844-446-6979 |
| Fax: | 855-405-4669 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Andrew Richard Boll |
| Position: | Secretary & Cfo |
| Contact Number: | 858-704-4040 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1396870986 |
| NPI Enumeration Date: | 22 Feb, 2007 |
| NPI Last Update On: | 09 Jun, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Imprimisrx Nj, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 28RS00593300 | New Jersey | Primary | |
| Community/Retail Pharmacy | 28RS00593300 | New Jersey | Secondary | |
| Compounding Pharmacy | 28RS00593300 | New Jersey | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3143017 | Other | New Jersey | Ncpdp |
Medicare Enrollment:
Imprimisrx Nj, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3173839610 | O20150831000267 | Pharmacy Creations Llc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1000 Aviara Dr Ste 220,
Carlsbad, California |
| Zip: | 92011-4218 |
| Phone Number: | 858-704-4040 |
| Fax Number: | 858-345-1745 |
Patients can reach Imprimisrx Nj, Llc at
1705 Route 46 Ste 4, Ledgewood, New Jersey or can
call on customer care at 844-446-6979.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.