Maple Gardens Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

RS00658000 Issued in NJ

Legal business name

MAPLE GARDENS PHARMACY

Practice address

3 Marshall St
Irvington, NJ 07111-3622

Phone

(973) 374-5860

Fax

(973) 374-5862

NPI assigned

Feb 20, 2006

Organization subpart

No

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

Authorized official

Name

Rasik L Patel, PHARM D.

Title

RPH in-Charge

Phone

(973) 374-5860

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063487478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARSHALL ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113622",
            "telephone_number": "973-374-5860",
            "fax_number": "973-374-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARSHALL ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113622",
            "telephone_number": "973-374-5860",
            "fax_number": "973-374-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE GARDENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RASIK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RPH IN-CHARGE",
        "authorized_official_telephone_number": "973-374-5860",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "RS00658000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.