Organization Active NPI

Jiraaj LLC

  • Community/Retail Pharmacy
  • Rutherford, NJ
National Provider Identifier
1073667424
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS0064100 Issued in NJ
Legal business name
JIRAAJ LLC
Practice address
311 Union Ave
Rutherford, NJ 07070-1515
Phone
(201) 438-2164
Fax
(201) 438-5380
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Sanjay Shah
Title
Member/Phcy Owner
Phone
(201) 438-2164

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS0064100 NJ Primary

Addresses

Primary practice location

311 Union Ave
Rutherford, NJ 07070-1515

Mailing address

311 Union Ave
Rutherford, NJ 07070-1515
Phone (201) 438-2164

Other identifiers 2

IdentifierTypeStateIssuer
0302643MedicaidNJ
2133005OtherPK

Other names 1

  • West End Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

311 Union Ave
Rutherford, NJ 07070
Phone (201) 438-2164

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1073667424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701515",
            "telephone_number": "201-438-2164",
            "fax_number": "201-438-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 UNION AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701515",
            "telephone_number": "201-438-2164",
            "fax_number": "201-438-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIRAAJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "MEMBER/PHCY OWNER",
        "authorized_official_telephone_number": "201-438-2164"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS0064100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302643",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.