TEXAS ROAD OLD BRIDGE LLC
TEXAS ROAD OLD BRIDGE LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003004904, based in Old Bridge, NJ. The organization lists 3 taxonomy classifications, with Community/Retail Pharmacy recorded as primary.
Getting there
Here is what surrounds this office in Old Bridge, based on OpenStreetMap data collected Aug 28, 2026. Parking is available about 0.23 mi away. A pharmacy sits 0.00 mi from the entrance (Texas Road Pharmacy), which helps if you leave with a prescription.
Getting here and what is nearby
Pharmacy Texas Road Pharmacy 0.00 mi ~1 min
1183 Old Bridge-Englishtown Road, Old Bridge 08857
Restaurant General Saloon 420 ft ~2 min
Restaurant Old Bridge Diner 556 ft ~3 min
Parking 872 ft ~4 min
Restaurant Nicolo's Pizzeria 956 ft ~4 min
Parking 0.21 mi ~5 min
Parking 0.23 mi ~5 min
Gas station Delta 0.31 mi ~7 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 28RS00674300 | NJ | Community/Retail Pharmacy primary |
This provider holds licence 28RS00674300 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Pharmacy
- PAC ID
- 4385840677
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| New Jersey | O20100930022233 | Dme Supplier - Pharmacy |
| New Jersey | O20210310001252 | Part B Supplier - Pharmacy |
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Pharmacy. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Community/Retail Pharmacy covers
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. NUCC Health Care Provider Taxonomy, code 3336C0003X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 333600000X | Pharmacy | — | — | |
| 3336S0011X | Specialty Pharmacy Specialty Pharmacy | — | — | |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | 28RS00674300 | NJ | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003004904 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 5, 2007 |
| Last updated | Nov 3, 2023 |
| Status | Active |
| Practice address |
1183 ENGLISHTOWN RD Old Bridge, NJ 08857 (732) 723-1101 Fax (732) 723-1141 |
| Other names |
Texas Road Pharmacy Former Legal Name |
| Other identifiers |
0162329
· Medicaid (NJ) 2056179 · Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 0 | 4 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 0 | 8 | 9 | 0 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.