Silver Pharma LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SILVER PHARMA LLC

Practice address

4056 Quakerbridge Rd Ste 107
Lawrenceville, NJ 08648-4779

Phone

(908) 688-4849

Fax

(908) 952-2009

NPI assigned

Mar 2, 2023

Organization subpart

No

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

Authorized official

Name

Dlavar Athar

Title

Executive Director/Owner

Phone

(908) 688-4849

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Silver Pharmacy Doing business as

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1053010686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE RD STE 107",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779",
            "telephone_number": "908-688-4849",
            "fax_number": "908-952-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 QUAKERBRIDGE RD STE 107",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484779",
            "telephone_number": "908-688-4849",
            "fax_number": "908-952-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "ATHAR",
        "authorized_official_first_name": "DLAVAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "908-688-4849"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0682896",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy J Shore, MSN,APN,CPNP
• Ajay K Shukla, PHARMD
• Mahmood Islam Siddique, D.O.
• Sara Siddiqui
• Silver Pharma
• Deborah Silver, BCBA
• Robert Silverbrook, D.O.
• Nancy Simon
• Charles Brian Simone, M.D.
• Jill Barbara Simone, M.D.

• Long Term Care Pharmacy in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.