Organization Active NPI

Bansi Pharmacy Inc

  • Community/Retail Pharmacy
  • Manalapan, NJ
National Provider Identifier
1003231937
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00731600 Issued in NJ
Legal business name
BANSI PHARMACY INC
Practice address
130 Highway 33
Manalapan, NJ 07726-8361
Phone
(732) 431-9400
Fax
(732) 431-9405
NPI assigned
Mar 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sailaja Nalam, PHARM.DNPI 1922350958
Title
President
Phone
(908) 917-8310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00731600 NJ Primary

Addresses

Primary practice location

130 Highway 33
Manalapan, NJ 07726-8361

Mailing address

130 Highway 33
Manalapan, NJ 07726-8361
Phone (732) 431-9400

Other identifiers 1

IdentifierTypeStateIssuer
0441848MedicaidNJ

Other names 1

  • ANDEE PLAZA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141010001800 NJ DME Supplier - Pharmacy 3678793874 Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

130 State Route 33
Manalapan, NJ 07726

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1003231937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HIGHWAY 33",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268361",
            "telephone_number": "732-431-9400",
            "fax_number": "732-431-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HIGHWAY 33",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268361",
            "telephone_number": "732-431-9400",
            "fax_number": "732-431-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANSI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-01",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "NALAM",
        "authorized_official_first_name": "SAILAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-917-8310",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00731600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441848",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDEE PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.