Organization Active NPI

Innovarx Inc

  • Community/Retail Pharmacy
  • Morganville, NJ
National Provider Identifier
1063286581
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INNOVARX INC
Practice address
100 Campus Dr Ste 103
Morganville, NJ 07751-1253
Phone
(732) 490-5216
Fax
(732) 399-2771
NPI assigned
Nov 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Alexandra Nissengolts
Title
President
Phone
(732) 490-5216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

100 Campus Dr Ste 103
Morganville, NJ 07751-1253

Mailing address

100 Campus Dr Ste 103
Morganville, NJ 07751-1253
Phone (732) 490-5216

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250816000405 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7911406970 Practice locations: Morganville, NJ
O20260427000032 NJ Part B Supplier - Pharmacy 7911406970 Practice locations: Morganville, NJ

National Provider Directory

National Provider Directory
Tax ID family
Innovarx Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1063286581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR STE 103",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511253",
            "telephone_number": "732-490-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS DR STE 103",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511253",
            "telephone_number": "732-490-5216",
            "fax_number": "732-399-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVARX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "NISSENGOLTS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-490-5216"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.