447 William St LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00760100 Issued in NJ

Legal business name

447 WILLIAM ST LLC

Doing business as

e-z care pharmacy

Practice address

447 William St
East Orange, NJ 07017-2204

Phone

(862) 520-1063

NPI assigned

Mar 1, 2018

Last updated

May 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Umesh Patel, RPHNPI 1023675196

Title

Member

Phone

(201) 887-4405

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• e-z care pharmacy Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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.

• Umesh Patel, RPH

  • Pharmacist
  • East Orange, NJ
  • NPI 1023675196
  NPD (past) Authorized official
• Jason Joseph, PHARMD

  • Ambulatory Care Pharmacist
  • East Orange, NJ
  • NPI 1730749946
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1073015467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 OLIVER RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523729",
            "telephone_number": "201-887-4405",
            "fax_number": "973-676-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 WILLIAM ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172204",
            "telephone_number": "862-520-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "447 WILLIAM ST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UMESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-887-4405",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00760100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0622052",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "washingtonrx90@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "447 William St",
            "city": "East Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070172204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "e-z care pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.