Organization Active NPI

Weisbrod's Pharmacy, LLC

Doing business as Weisbrod's Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Newark, NJ
National Provider Identifier
1063528610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4461520001 Issued in NJ
Legal business name
WEISBROD'S PHARMACY, LLC
Doing business as
Weisbrod's Pharmacy
Practice address
980 S Orange Ave
Newark, NJ 07106-1714
Phone
(973) 371-2771
Fax
(973) 371-2247
NPI assigned
Aug 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paresh T Gandhi, BS PHARMACY
Title
Owner
Phone
(973) 371-2771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4461520001 NJ Primary
Durable Medical Equipment & Medical Supplies 332B00000X 28RS00608300 NJ

Addresses

Primary practice location

980 S Orange Ave
Newark, NJ 07106-1714

Mailing address

980 S Orange Ave
Newark, NJ 07106-1714
Phone (973) 371-2771

Other identifiers 1

IdentifierTypeStateIssuer
8752605MedicaidNJ

Other names 1

  • WEISBROD'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

980 S Orange Ave
Newark, NJ 07106
Phone (973) 371-2771

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063528610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061714",
            "telephone_number": "973-371-2771",
            "fax_number": "973-371-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061714",
            "telephone_number": "973-371-2771",
            "fax_number": "973-371-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISBROD'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-371-2771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "4461520001",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00608300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8752605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEISBROD'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • 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.