Branch Brook Corp.

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00603800 Issued in NJ

Legal business name

BRANCH BROOK CORP.

Doing business as

Branch Brook Pharmacy

Practice address

917 Franklin Ave
Newark, NJ 07107-2809

Phone

(973) 412-7300

Fax

(973) 412-7303

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Manoj Barot, RPH

Title

President

Phone

(973) 412-7300

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Branch Brook 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 3

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

• Tarak Patel, R.PH.

  • Pharmacist
  • Orange City, FL
  • NPI 1538145248
  NPD
• Sheela Mehta

  • Pharmacist
  • Newark, NJ
  • NPI 1396161667
  NPD (past)
• Devshri Trivedi, MS RPH

  • Pharmacist
  • Newark, NJ
  • NPI 1194114462
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1093790040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 FRANKLIN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072809",
            "telephone_number": "973-412-7300",
            "fax_number": "973-412-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 FRANKLIN AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071072809",
            "telephone_number": "973-412-7300",
            "fax_number": "973-412-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH BROOK CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "BAROT",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-412-7300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00603800",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00603800",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00603800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8625701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branch Brook Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Stepan Bozian, DC
• Gwen Orr Brachman, M.D.
• Christopher Bradley
• Jacquelyn Bradley, D.O
• Hani F. Braidy, DMD
• Branch Brook Park Manor, Inc.
• Curtis Wood Branch, PHD
• Mamie Marie Branch, LSW
• Maura Costa Branco
• Kristyn M Brandi, MD MPH

• Pharmacy in Newark, NJ
• Providers in Newark, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.