Reses Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00347500 Issued in NJ

Legal business name

RESES PHARMACY LLC

Doing business as

S.Reses Pharmacy

Practice address

269 W White Horse Pike
Pomona, NJ 08240

Phone

(609) 965-3600

Fax

(609) 965-4330

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Kamlesh Vavaiya, R.PH

Title

Pic (Owner)

Phone

(609) 965-3600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• S.Reses Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Kamleshkumar Vavaiya

  • Pharmacist
  • Greenville, NC
  • NPI 1447481494
  NPD

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1013987940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 W WHITE HORSE PIKE",
            "address_2": "P O BOX 889",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-965-3600",
            "fax_number": "609-965-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 W WHITE HORSE PIKE",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-965-3600",
            "fax_number": "609-965-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "VAVAIYA",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_title_or_position": "PIC (OWNER)",
        "authorized_official_telephone_number": "609-965-3600",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00347500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4311701",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3163504",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.Reses Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandra Pinz
• Planned Parenthood of Northern, Central, and Southern New Jersey, Inc.
• Debra Leigh Priore
• Rdbpmr
• Courtney Paige Reed
• Kelsey Reynolds
• Elizabeth Kay Riccobono, DO
• Abby L Roessler, LCSW
• Edwin Roque, APN
• Matthew Paul Rowley Jr., CRNA

• Community/Retail Pharmacy in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.