Active NPI
Bansi Pharmacy Inc
- Community/Retail Pharmacy
- Manalapan, NJ
National Provider Identifier
1003231937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00731600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sailaja Nalam, PHARM.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0441848 | Medicaid | NJ |
Other names 1
- ANDEE PLAZA PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141010001800 | NJ | DME Supplier - Pharmacy | 3678793874 | Practice locations: Manalapan, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Brooklyn, NY
- NPI 1922350958
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.