Organization Active NPI

Morris Plains Pharmacy, LLC

  • Community/Retail Pharmacy
  • Morris Plains, NJ
National Provider Identifier
1063923571
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00399600 Issued in NJ
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

Updated by the provider on Oct 24, 2017

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)CodeLicenseStatePrimary
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 NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 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": "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

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.

Verify at the official NPI Registry.