Active NPI
Morris Plains Pharmacy, LLC
- Community/Retail Pharmacy
- Morris Plains, NJ
National Provider Identifier
1063923571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00399600
- Legal business name
- MORRIS PLAINS PHARMACY, LLC
- Practice address
- 712 Speedwell Ave
1St Floor
Morris Plains, NJ 07950 - Phone
- (973) 539-3635
- Fax
- (973) 539-8447
- NPI assigned
- Oct 24, 2017
- 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
- Sridevi Vajinepalli
- Title
- President
- Phone
- (973) 539-3635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00399600 | NJ | Primary |
Addresses
Primary practice location
712 Speedwell Ave
1St Floor
Morris Plains, NJ 07950
Mailing address
712 Speedwell Ave, 1St Floor
Morris Plains, NJ 07950
Phone (973) 539-3635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180711002837 | NJ | DME Supplier - Pharmacy | 5395091912 | Practice locations: Morris Plains, NJ |
| O20250925004309 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 5395091912 | Practice locations: Morris Plains, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Morris Plains Drugs Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Morris Plains Pharmacy
- Long Term Care Pharmacy
- Morris Plains, NJ
- NPI 1588403075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508803200000",
"number": "1063923571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 SPEEDWELL AVE, 1ST FLOOR",
"city": "MORRIS PLAINS",
"state": "NJ",
"postal_code": "07950",
"telephone_number": "973-539-3635",
"fax_number": "973-539-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 SPEEDWELL AVE",
"address_2": "1ST FLOOR",
"city": "MORRIS PLAINS",
"state": "NJ",
"postal_code": "07950",
"telephone_number": "973-539-3635",
"fax_number": "973-539-8447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRIS PLAINS PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-24",
"last_updated": "2017-10-24",
"status": "A",
"authorized_official_last_name": "VAJINEPALLI",
"authorized_official_first_name": "SRIDEVI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-539-3635"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00399600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morris Plains, NJ
- Morris County Primary Care, L.L.C.
- Morris Family Medicine Associates PA
- Morris Oral Surgery & Implant Center LLC
- Morris Plains Dental Associates PC
- Morris Plains Pharmacy LLC (Morris Plains Pharmacy)
- Morris Plains Pharmacy, LLC (Morris Plains Pharmacy)
- Morris Plaza Pharmacy LLC (Morris Plaza Pharmacy & Surgical Supplies)
- Morris View Management Co
- Morristown Family Chiropractic Inc
- Morristown Pathology Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.