Organization Active NPI

Paramount Drug LLC

Doing business as Paramount Drug

  • Community/Retail Pharmacy
  • Riverside, NJ
National Provider Identifier
1003293515
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS0345700 Issued in NJ
Legal business name
PARAMOUNT DRUG LLC
Doing business as
Paramount Drug
Practice address
54 E Scott St
Riverside, NJ 08075-3616
Phone
(856) 461-0953
Fax
(856) 461-6443
NPI assigned
May 5, 2015
Last updated
Jul 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Sharon MaherNPI 1417199399
Title
Manager/Pharmacist
Phone
(856) 229-2646

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS0345700 NJ Primary

Addresses

Primary practice location

54 E Scott St
Riverside, NJ 08075-3616

Mailing address

400 Brown St
Delran, NJ 08075-1118
Phone (856) 229-2646

Other identifiers 2

IdentifierTypeStateIssuer
0499731MedicaidNJ
2153099OtherPK

Other names 1

  • Paramount Drug Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201229003144 NJ Part B Supplier - Pharmacy 1456656925 Practice locations: Riverside, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1003293515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROWN ST",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751118",
            "telephone_number": "856-229-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E SCOTT ST",
            "city": "RIVERSIDE",
            "state": "NJ",
            "postal_code": "080753616",
            "telephone_number": "856-461-0953",
            "fax_number": "856-461-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER/PHARMACIST",
        "authorized_official_telephone_number": "856-229-2646"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS0345700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499731",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153099",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paramount Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.