Organization Active NPI

Newark Pharmacy LLC

  • Pharmacy
  • Newark, NJ
National Provider Identifier
1083250773
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
NEWARK PHARMACY LLC
Practice address
635 Market St Unit 1C
Newark, NJ 07105-3618
Phone
(973) 993-7510
Fax
(973) 993-7511
NPI assigned
Nov 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Authorized official

Name
Switi PatelNPI 1639628787
Title
Owner
Phone
(973) 993-7510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

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

Addresses

Primary practice location

635 Market St Unit 1C
Newark, NJ 07105-3618

Mailing address

635 Market St Unit 1C
Newark, NJ 07105-3618

Other names 1

  • NEWARK PHARMACY LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210519002000 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 5698174977 Practice locations: Newark, NJ

National Provider Directory

National Provider Directory

Locations

635 Market St
Unit 1C
Newark, NJ 07105
Phone (973) 993-7510

Practitioners & affiliated clinicians

Practitioners 3

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": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1083250773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 MARKET ST UNIT 1C",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MARKET ST UNIT 1C",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053618",
            "telephone_number": "973-993-7510",
            "fax_number": "973-993-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SWITI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-993-7510"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWARK PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.