Organization Active NPI

Gajrajrx Corp

  • Community/Retail Pharmacy
  • Oakhurst, NJ
National Provider Identifier
1003988890
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00224900 Issued in NJ
Legal business name
GAJRAJRX CORP
Practice address
1915 Hwy 35
Oakhurst, NJ 07755-2771
Phone
(732) 531-3784
Fax
(732) 531-7909
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Ankur Patel
Title
Owner
Phone
(732) 331-2010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00224900 NJ Primary

Addresses

Primary practice location

1915 Hwy 35
Oakhurst, NJ 07755-2771

Mailing address

1915 Hwy 35
Oakhurst, NJ 07755-2771
Phone (732) 531-3784

Other identifiers 1

IdentifierTypeStateIssuer
0611158MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1003988890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 HWY 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552771",
            "telephone_number": "732-531-3784",
            "fax_number": "732-531-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 HWY 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552771",
            "telephone_number": "732-531-3784",
            "fax_number": "732-531-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAJRAJRX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-331-2010"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00224900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0611158",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.