MPS RX TRI-STATE LLC NPI 1164744546

NPI Information

NPI: 1164744546
Provider Name: MPS RX TRI-STATE LLC
Classification: Pharmacy - 3336L0003X
Specialization: Long Term Care Pharmacy
Entity Type: Organization
Doing Business As: MILLENNIUM PHARMACY SYSTEMS INC S
Address: 22 PARIS AVE
NORTHVALE, NJ
ZIP 07647
Phone: (201) 784-1643

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NPI Details

MPS RX TRI-STATE LLC is a long term care pharmacy pharmacy in Northvale, NJ. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MPS RX TRI-STATE LLC NPI is 1164744546. The provider is registered as an organization entity type.
The provider Is Doing Business As Millennium Pharmacy Systems Inc S.

The provider's business location address is:

22 PARIS AVE
NORTHVALE, NJ
ZIP 07647-600
Phone: (201) 784-1643

The provider's authorized official is Terri Delany .
The authorized official title is Manager, Business Systems Support and has the following contact phone number (201) 784-1643.

The enumeration date for this NPI number is 2/25/2010 and was last updated on 3/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		28RS00701000	NEW JERSEY	No
2	333600000X	Pharmacy		28RS00701000	NEW JERSEY	No
3	3336L0003X	Pharmacy	Long Term Care Pharmacy	28RS00701000	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	OTHER		MEDICARE & MEDICAID PENDING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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