Regal Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00725800 Issued in NJ

Legal business name

REGAL PHARMACY LLC

Doing business as

REGAL PHARMACY

Practice address

684 Mount Prospect Ave
Newark, NJ 07104-3110

Phone

(973) 350-0500

Fax

(973) 350-5570

NPI assigned

Apr 21, 2013

Organization subpart

No

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

Authorized official

Name

Hetvi KhambhatiNPI 1922477546

Title

Owner

Phone

(973) 350-0500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• REGAL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Hetvi Khambhati

  • Pharmacist
  • Livingston, NJ
  • NPI 1922477546
  NPD Authorized official

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

{
    "created_epoch": "1366502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1073957098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "973-350-0500",
            "fax_number": "973-350-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043110",
            "telephone_number": "973-350-0500",
            "fax_number": "973-350-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-21",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "KHAMBHATI",
        "authorized_official_first_name": "HETVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-350-0500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00725800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140031",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380334",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REGAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Celena Martino Redler, PSY. D.
• Geraldine Redmond, PA-C
• Laura Tsai Reed
• Rebecca Reed, DMD
• Kaitlin Reeves
• Gloria Regis-Andrews, APN-C
• Erica Rego, MD
• Areeba Rehman, PA-C
• Hareem Rehman, MD
• Rehoboth Mobility and Transportation LLC

• Community/Retail Pharmacy in Newark, NJ
• Providers in Newark, 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 Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.