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South Orange Pharmacy LLC

Community/Retail Pharmacy in South Orange, NJ · enumerated 2008 · authorized official Christopher Otto, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861643561

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Registry record

Entity type Organization (Type 2)
Legal business name South Orange Pharmacy LLC
Other name <Unavail>
Practice address 73 S Orange Ave, South Orange, NJ, 07079
Phone (973) 821-5414
Fax (973) 275-5220
Enumeration date Oct 1, 2008
Last updated in NPPES Dec 20, 2016

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 28RS00687000 (NJ) Primary

Authorized official

Name Christopher Otto
Title Owner
Phone (973) 821-5414

Other identifiers

Identifier Type State Issuer
2117729 Other - PK
0193381 Medicaid NJ -
6227070001 Medicaid NJ -

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.

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Frequently asked questions

Who is the authorized official for South Orange Pharmacy LLC?
NPPES lists Christopher Otto (Owner) as the authorized official for this organization.
What is the NPI number for South Orange Pharmacy LLC?
The NPI for South Orange Pharmacy LLC is 1861643561, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-20.