MEMORIAL SLOAN KETTERING AT BERGEN RETAIL – NPI #1669963880
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

MEMORIAL SLOAN KETTERING AT BERGEN RETAIL is a pharmacy located in MONTVALE, NJ. NPPES has assigned the NPI number 1669963880 to MEMORIAL SLOAN KETTERING AT BERGEN RETAIL on May 23, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEMORIAL SLOAN KETTERING AT BERGEN RETAIL” is a dba name, the actual legal business name for this organization is MEMORIAL SLOAN KETTERING CANCER CENTER. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 2 years ago on Mar 19, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEMORIAL SLOAN KETTERING AT BERGEN RETAIL below.

NPI Profile for
MEMORIAL SLOAN KETTERING CANCER CENTER

NPI Number
1669963880
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEMORIAL SLOAN KETTERING CANCER CENTER
Doing Business As (dba): MEMORIAL SLOAN KETTERING AT BERGEN RETAIL
Primary location
225 SUMMIT AVE STE 1001
MONTVALE, NJ 07645-1523
Phone: (201) 775-7055 Fax:
Mailing address
1275 YORK AVE RM H-313
NEW YORK, NY 10065-6007
Phone: (212) 639-2206 Fax:
Organization Subpart
No
Authorized Official
SUSAN MURILLO
PHARMACY MANAGER
Phone: (212) 639-2206
Updated
Certification Date
Mar 19, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)		 NJ 28RS00763100

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.