4977, Llc
Pharmacy
1000 N Pearl St, Bridgeton
New Jersey, 08302-1215
856-453-5993 856-453-8631
4977, Llc is a Pharmacy in Bridgeton, New Jersey. It is located at 1000 N Pearl St, Bridgeton and it's customer support contact number is 856-453-5993. The authorized person of 4977, Llc is Melissa Figueroa Rivera who is Third Party Administrator of the pharmacy and his contact number is 732-521-8439. Active license number of 4977, Llc is RS005859 for Pharmacy in New Jersey. 4977, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
4977, 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:
4977, 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: | 4977, Llc |
| Type: | Pharmacy |
| Location: | 1000 N Pearl St, Bridgeton,
New Jersey, 08302-1215 |
| Phone: | 856-453-5993 |
| Fax: | 856-453-8631 |
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: | Melissa Figueroa Rivera |
| Position: | Third Party Administrator |
| Contact Number: | 732-521-8439 |
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: | 1538274311 |
| NPI Enumeration Date: | 20 Aug, 2006 |
| NPI Last Update On: | 10 Aug, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 4977, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | RS005859 | New Jersey | Primary | |
| Community/Retail 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 |
| 3142217 | Other | | Other Id Number-commercial Number |
| 8611602 | Medicaid | New Jersey | |
Medicare Enrollment:
4977, 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 |
| 7214101377 | O20111129000711 | 4977, Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 7214101377 | O20120307000279 | 4977, Llc | DME SUPPLIER - PHARMACY |
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 N Pearl St,
Bridgeton, New Jersey |
| Zip: | 08302-1215 |
| Phone Number: | -- |
Patients can reach 4977, Llc at
1000 N Pearl St, Bridgeton, New Jersey or can
call on customer care at 856-453-5993.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.