Organization Active NPI

Horsup

  • Community/Retail Pharmacy
  • Elizabeth, NJ
National Provider Identifier
1104052703
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00705800 Issued in NJ
Legal business name
HORSUP
Practice address
32 Grove St
Elizabeth, NJ 07202-2327
Phone
(908) 353-3282
Fax
(908) 355-5379
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Authorized official

Name
Aakash Dheri
Title
Owner
Phone
(908) 353-3282

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 28RS00705800 NJ Primary

Addresses

Primary practice location

32 Grove St
Elizabeth, NJ 07202-2327

Mailing address

32 Grove St
Elizabeth, NJ 07202-2327
Phone (908) 353-3282

Other identifiers 2

IdentifierTypeStateIssuer
2127060OtherPK
0280348MedicaidNJ

Other names 1

  • Horowitz-SupremoPharmacy and Surgical Supplies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101120000063 NJ DME Supplier - Pharmacy 9032305768 Practice locations: Elizabeth, NJ
O20121115000581 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9032305768 Practice locations: Elizabeth, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Horsup32 Grove Street, Elizabeth, NJ 07202-2327(908) 353-3282 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual… Accepts assignmentParticipating since Sep 1, 2012

National Provider Directory

National Provider Directory

Locations

32 Grove St
Elizabeth, NJ 07202
Phone (908) 353-3282

Practitioners & affiliated clinicians

Practitioners 1

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": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1104052703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GROVE ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022327",
            "telephone_number": "908-353-3282",
            "fax_number": "908-355-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GROVE ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072022327",
            "telephone_number": "908-353-3282",
            "fax_number": "908-355-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "DHERI",
        "authorized_official_first_name": "AAKASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-353-3282"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00705800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127060",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280348",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horowitz-SupremoPharmacy and Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horowitz-SupremoPharmacy and Surgical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.