Chinraj LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00646900 Issued in NJ

Legal business name

CHINRAJ LLC

Doing business as

PARKE WARNER PHARMACY

Practice address

1201 Corlies Ave
Neptune, NJ 07753-5006

Phone

(732) 774-3474

Fax

(732) 774-3475

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Chintan Patel

Title

Owner

Phone

(732) 774-3475

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PARKE WARNER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1104993476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535006",
            "telephone_number": "732-774-3475",
            "fax_number": "732-774-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535006",
            "telephone_number": "732-774-3474",
            "fax_number": "732-774-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINRAJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHINTAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-774-3475"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00646900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARKE WARNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Neptune, NJ
• Providers in Neptune, 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 Aug 2, 2016; 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.