Active NPI
Newark Pharmacy LLC
- Pharmacy
- Newark, NJ
National Provider Identifier
1083250773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Switi Patel
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210519002000 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 5698174977 | Practice locations: Newark, NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ambulatory Care Pharmacist
- Wayne, NJ
- NPI 1639628787
-
- Pharmacist
- Parsippany, NJ
- NPI 1295148450
-
- Pharmacist
- Elizabeth, NJ
- NPI 1235513433
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.