Medlife Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00718600 Issued in NJ

Legal business name

MEDLIFE PHARMACY INC

Doing business as

Medlife Pharmacy

Practice address

2000 State Route 27
North Brunswick, NJ 08902-1383

Phone

(732) 658-3636

Fax

(732) 658-3638

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Mayez Enver

Title

Owner

Phone

(732) 595-8205

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medlife Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

Tax ID family

Medlife Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medlife Pharmacy Inc

  • Long Term Care Pharmacy
  • North Brunswick, NJ
  • NPI 1891595617
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• My Specialty RX LLC

  • Community/Retail Pharmacy
  • Piscataway, NJ
  • NPI 1518327956

  Member Of

  NPD member
• Parabhram LLC

  • Pharmacy
  • Matawan, NJ
  • NPI 1871975037

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• My Specialty RX LLC

  • Community/Retail Pharmacy
  • Piscataway, NJ
  • NPI 1518327956

  Member Of

  NPD member

Locations

Practitioners 1

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

• Niyati M Patel, RPH

  • Pharmacist
  • North Brunswick, NJ
  • NPI 1295537975
  NPD (past)

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1053670588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STATE ROUTE 27",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021383",
            "telephone_number": "732-658-3636",
            "fax_number": "732-658-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STATE ROUTE 27",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021383",
            "telephone_number": "732-658-3636",
            "fax_number": "732-658-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "ENVER",
        "authorized_official_first_name": "MAYEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-595-8205"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00718600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134888",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medlife Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medlife Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina F McGowan, Lac
• Shanique McGowan, LCSW
• Jacqueline McKenzie
• Matthew Anthony McQuillan, PA-C
• Medish Care
• Medlife Pharmacy Inc
• Mehdi H.Naqui MD,PA
• Mehnaz a Haq MD
• Yongyi Mei
• Memory Care Garden, LLC

• Community/Retail Pharmacy in North Brunswick, NJ
• Providers in North Brunswick, 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 May 17, 2024; 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.