Organization Active NPI

Plains Pharmacy of Wayne TWP Inc

  • Pharmacist
  • Wayne, NJ
National Provider Identifier
1013048065
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RS00668900 Issued in NJ
Legal business name
PLAINS PHARMACY OF WAYNE TWP INC
Practice address
578 Valley Rd
Wayne, NJ 07470-3526
Phone
(973) 694-5522
Fax
(973) 694-1751
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Mr. Manu KakarNPI 1184754350
Title
Owner
Phone
(973) 694-5522

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
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 28RS00668900 NJ Primary

Addresses

Primary practice location

578 Valley Rd
Wayne, NJ 07470-3526

Mailing address

578 Valley Rd
Wayne, NJ 07470-3526
Phone (973) 694-5522

Other identifiers 1

IdentifierTypeStateIssuer
0144355MedicaidNJ

Other names 1

  • PLAINS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110317000506 NJ DME Supplier - Pharmacy 3274716980 Practice locations: Wayne, NJ
O20171116002788 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 3274716980 Practice locations: Wayne, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2208027Plains Pharmacy578 Valley Road, Wayne, NJ 07470Certificate of waiverJan 3, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Plains Pharmacy of Wayne TWP Inc578 Valley Rd, Wayne, NJ 07470-3526(973) 694-5522 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

578 Valley Rd
Wayne, NJ 07470
Phone (973) 694-5522

Practitioners & affiliated clinicians

Practitioners 3

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1013048065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703526",
            "telephone_number": "973-694-5522",
            "fax_number": "973-694-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 VALLEY RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703526",
            "telephone_number": "973-694-5522",
            "fax_number": "973-694-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINS PHARMACY OF WAYNE TWP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "KAKAR",
        "authorized_official_first_name": "MANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-694-5522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00668900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144355",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAINS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.