OrganizationActive
Peter Pan Pharmacy Inc
NPI 1508904640 · Community/Retail Pharmacy · S Plainfield, NJ
Provider details
- NPI number
- 1508904640
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Kornas, Owner(908) 754-7607
- License
- 28RS00323500 (NJ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2125 Park Ave
S Plainfield, NJ 07080-5401
Phone: (908) 754-7607
Fax: (908) 754-9106
Street-level locationGet directions
Mailing address
2125 Park Ave
S Plainfield, NJ 07080-5401
Other names (DBA / former)
- Doing business as
- Peter Pan Pharmacy
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2016-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.