Active NPI
Jiraaj LLC
- Community/Retail Pharmacy
- Rutherford, NJ
National Provider Identifier
1073667424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS0064100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0302643 | Medicaid | NJ | |
| 2133005 | Other | PK |
Other names 1
- West End Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Rutherford, NJ
- NPI 1104382373
-
- Pharmacist
- Rutherford, NJ
- NPI 1316466485
-
- Pharmacist
- Rutherford, NJ
- NPI 1891218608
-
- Pharmacist
- Rutherford, NJ
- NPI 1417574583
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
- Mary-Louise Jannicelli-Clare, P.T.
- Jaroslaw S. Pondo, M.D. PC
- Kathleen Laura Jedruszczuk, DO
- Jill Jefferys
- Jennifer Layne Acupuncture and Wellness LLC
- Rikita Jodhani, DMD
- Joseph Thomas Johnson, DC
- Joint Health Physical Therapy
- JZV Center for Rehabilitation of the Upper Extremity, Inc
- Kathleen M Kaelin Wooton, M.D.
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.