Madison RX, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00686500 Issued in NJ

Legal business name

MADISON RX, INC

Doing business as

Bottle Hill Pharmacy

Practice address

42 Main St
Madison, NJ 07940-1895

Phone

(973) 377-0009

Fax

(973) 301-0300

NPI assigned

Dec 19, 2006

Last updated

Jun 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Narendra B Vutla, RPH

Title

President

Phone

(973) 377-0009

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bottle Hill Pharmacy Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1093878068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MAIN STREET",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "07940",
            "telephone_number": "973-377-0009",
            "fax_number": "973-301-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MAIN ST",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401895",
            "telephone_number": "973-377-0009",
            "fax_number": "973-301-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON RX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "VUTLA",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-377-0009",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00686500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "7727615",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7727607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bottle Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Counseling LLC
• Madison Dentistry LLC
• Madison Family Practice
• Madison Medical and Sports Rehabilitation L.L.C
• Madison Medical and Sports Rehabilitation L.L.C
• Joyce L Maglione, MSN, APN,C
• Michelle Jeanette Malanga
• Sonya Malani, O.D.
• Maria Eloisa M Manahan
• Danielle M Mariano

• Community/Retail Pharmacy in Madison, NJ
• Providers in Madison, 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 Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.