Plymouth Park Pharmacy Inc
Community/Retail Pharmacy
11 12 Saddle River Rd, Fair Lawn
New Jersey, 07410-5786
201-797-0006 201-797-0007
Plymouth Park Pharmacy Inc is a Community/Retail Pharmacy in Fair Lawn, New Jersey. It is located at 11 12 Saddle River Rd, Fair Lawn and it's customer support contact number is 201-797-0006. The authorized person of Plymouth Park Pharmacy Inc is Bryan Scott Piskadlo who is President of the pharmacy and his contact number is 201-797-0006. Active license number of Plymouth Park Pharmacy Inc is 28RS001207900 for Community/Retail Pharmacy in New Jersey. Plymouth Park Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Plymouth Park Pharmacy Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Plymouth Park Pharmacy Inc 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: | Plymouth Park Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 11 12 Saddle River Rd, Fair Lawn,
New Jersey, 07410-5786 |
| Phone: | 201-797-0006 |
| Fax: | 201-797-0007 |
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: | Bryan Scott Piskadlo |
| Position: | President |
| Contact Number: | 201-797-0006 |
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: | 1023053469 |
| NPI Enumeration Date: | 19 Jun, 2006 |
| NPI Last Update On: | 13 Oct, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Plymouth Park Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 28RS001207900 | New Jersey | Primary | |
| Pharmacy | | | 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 |
| 0698628 | Medicaid | New Jersey | |
| 2055710 | Other | | Pk |
Medicare Enrollment:
Plymouth Park Pharmacy Inc 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 |
| 4981722287 | O20100930051824 | Plymouth Park Pharmacy Inc | DME SUPPLIER - PHARMACY |
| 4981722287 | O20140409002296 | Plymouth Park Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Plymouth Park Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11 12 Saddle River Rd,
Fair Lawn, New Jersey |
| Zip: | 07410-5786 |
| Phone Number: | 201-797-0006 |
| Fax Number: | 201-797-0007 |
Patients can reach Plymouth Park Pharmacy Inc at
11 12 Saddle River Rd, Fair Lawn, New Jersey or can
call on customer care at 201-797-0006.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.