Organization Active NPI

Quick Mart Pharmacy & Convenience LLC

  • Community/Retail Pharmacy
  • Milltown, NJ
National Provider Identifier
1073165403
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
QUICK MART PHARMACY & CONVENIENCE LLC
Practice address
100 Ryders LN Ste 5
Milltown, NJ 08850-1263
Phone
(732) 745-7222
Fax
(732) 545-4402
NPI assigned
Jul 16, 2019
Last updated
Jul 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Alok Patel, PHARMACIST
Title
Member-LLC
Phone
(732) 745-7222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

100 Ryders LN Ste 5
Milltown, NJ 08850-1263

Mailing address

100 Ryders LN Ste 5
Milltown, NJ 08850-1263
Phone (732) 745-7222

National Provider Directory

National Provider Directory

Locations

100 Ryders Ln
Ste 5
Milltown, NJ 08850
Phone (718) 496-1149

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1073165403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RYDERS LN STE 5",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501263",
            "telephone_number": "732-745-7222",
            "fax_number": "732-545-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RYDERS LN STE 5",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501263",
            "telephone_number": "732-745-7222",
            "fax_number": "732-545-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK MART PHARMACY & CONVENIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALOK",
        "authorized_official_title_or_position": "MEMBER-LLC",
        "authorized_official_telephone_number": "732-745-7222",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milltown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.