Organization Active NPI

Tiffany Natural Pharmacy Inc

Doing business as Tiffany Natural Pharmacy

  • Community/Retail Pharmacy
  • Westfield, NJ
National Provider Identifier
1093855058
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00575300 Issued in NJ
Legal business name
TIFFANY NATURAL PHARMACY INC
Doing business as
Tiffany Natural Pharmacy
Practice address
1115 South Ave W
Westfield, NJ 07090-1418
Phone
(908) 233-2200
Fax
(908) 233-3975
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Mr. Brian B Pinto, RPHNPI 1205019759
Title
Pharmacist-in-Charge
Phone
(908) 233-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 28RS00575300 NJ
Community/Retail Pharmacy 3336C0003X 28RS00575300 NJ Primary

Addresses

Primary practice location

1115 South Ave W
Westfield, NJ 07090-1418

Mailing address

1115 South Ave W
Westfield, NJ 07090-1418
Phone (908) 233-2200

Other identifiers 4

IdentifierTypeStateIssuer
28RS00575300OtherNJ BOARD OF PHARMACY STATE PERMIT
8059811OtherNJMEDICAID DME
3141479OtherNJNABP#
8059802MedicaidNJ

Other names 1

  • Tiffany Natural Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100609000009 NJ Part B Supplier - Pharmacy 6406986025 Practice locations: Westfield, NJ
O20100930003459 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company 6406986025 Practice locations: Westfield, NJ
O20200622002608 NJ Part B Supplier - Independent Clinical Laboratory 6406986025 Practice locations: Westfield, NJ

National Provider Directory

National Provider Directory
Tax ID family
Tiffany Natural Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1093855058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SOUTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901418",
            "telephone_number": "908-233-2200",
            "fax_number": "908-233-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 SOUTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901418",
            "telephone_number": "908-233-2200",
            "fax_number": "908-233-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY NATURAL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "908-233-2200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00575300",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00575300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHARMACY STATE PERMIT",
            "identifier": "28RS00575300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "8059811",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "3141479",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8059802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany Natural Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.