Organization Active NPI

Pankti Inc

Doing business as Presidential Pharmacy

  • Community/Retail Pharmacy
  • Paterson, NJ
National Provider Identifier
1073889861
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00718200 Issued in NJ
Legal business name
PANKTI INC
Doing business as
Presidential Pharmacy
Practice address
121 W Broadway # Storeb
Paterson, NJ 07522-2018
Phone
(973) 782-4955
NPI assigned
Mar 27, 2012
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Mr. Faisal Javed
Title
President
Phone
(973) 782-4955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00718200 NJ Primary

Addresses

Primary practice location

121 W Broadway # Storeb
Paterson, NJ 07522-2018

Mailing address

121 W Broadway # Storeb
Paterson, NJ 07522-2018
Phone (973) 782-4955

Other identifiers 1

IdentifierTypeStateIssuer
28RS00718200OtherNJPHARMCY LICENSE NUMER NEW JERSEY

Other names 1

  • PRESIDENTIAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

121 W Broadway
Ste B
Paterson, NJ 07522
Phone (973) 782-4955

Practitioners & affiliated clinicians

Practitioners 1

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": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1073889861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W BROADWAY # STOREB",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075222018",
            "telephone_number": "973-782-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W BROADWAY # STOREB",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075222018",
            "telephone_number": "973-782-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANKTI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-782-4955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00718200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMCY LICENSE NUMER NEW JERSEY",
            "identifier": "28RS00718200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESIDENTIAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.