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4977, LLC

4977, LLC is a healthcare organization registered as Pharmacy in Bridgeton, NJ, holding Type 2 (organization) NPI 1538274311 since 2006. The authorized official on file is Melissa Figueroa Rivera, Third Party Administrator.

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NPI 1538274311
Entity type Organization (Type 2)
Legal business name 4977, LLC
Other name <Unavail>
Practice address 1000 N PEARL ST, Bridgeton, NJ, 08302
Phone 8564535993
Fax 8564538631
Enumeration date 2006-08-20
Last updated in NPPES 2012-08-10

Authorized official

Name Melissa Figueroa Rivera
Title Third Party Administrator
Phone 7325218439

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336C0003X Community/Retail Pharmacy Secondary
333600000X Pharmacy Primary RS005859 NJ

Other identifiers

Identifier Type State Issuer
3142217 Other OTHER ID NUMBER-COMMERCIAL NUMBER
8611602 Medicaid NJ
Copy-ready billing details
Provider: 4977, LLC
NPI: 1538274311
Taxonomy: 333600000X (Pharmacy)
Address: 1000 N PEARL ST, Bridgeton, NJ, 08302

Providers at this address

NPI Name Type Specialty Location
1396341988 Edward Reilly Individual Pharmacist Bridgeton, NJ
1366038523 Sandra O'Dee Individual Pharmacist Bridgeton, NJ

Verify this record

Cross-check NPI 1538274311 against the authoritative CMS record: view 4977, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-08-10. Verify at npiregistry.cms.hhs.gov.
Where is 4977, LLC located?
The practice location on file with NPPES is in Bridgeton, NJ.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-08-10.