Active NPI
Weisbrod's Pharmacy, LLC
Doing business as Weisbrod's Pharmacy
- Durable Medical Equipment & Medical Supplies
- Newark, NJ
National Provider Identifier
1063528610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4461520001
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8752605 | Medicaid | NJ |
Other names 1
- WEISBROD'S PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Newark, NJ
- NPI 1528782257
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.