Organization Active NPI

Nathji Plus Inc

Doing business as eastpark pharmacy

  • Community/Retail Pharmacy
  • Willingboro, NJ
National Provider Identifier
1114066966
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00649600 Issued in NJ
Legal business name
NATHJI PLUS INC
Doing business as
eastpark pharmacy
Practice address
1 Rose St
Willingboro, NJ 08046-2537
Phone
(609) 877-7600
Fax
(609) 877-4540
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Authorized official

Name
Mr. Hiren M Patel, R.PHNPI 1356444616
Title
Owner
Phone
(609) 877-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 28RI02377800 NJ
Durable Medical Equipment & Medical Supplies 332B00000X 28RS00649600 NJ
Community/Retail Pharmacy 3336C0003X 28RS00649600 NJ Primary

Addresses

Primary practice location

1 Rose St
Willingboro, NJ 08046-2537

Mailing address

1 Rose St
Willingboro, NJ 08046-2537
Phone (609) 877-7600

Other identifiers 3

IdentifierTypeStateIssuer
0067423MedicaidNJ
3104003OtherNJNCPDP NUMBER
0067415MedicaidNJ

Other names 1

  • eastpark pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930007669 NJ DME Supplier - Pharmacy 6709097686 Practice locations: Willingboro, NJ
O20120223000362 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 6709097686 Practice locations: Willingboro, 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
Nathji Plus Inc1 Rose St, Willingboro, NJ 08046-2537(609) 877-7600 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|Canes and/or Crutches|Walkers|Wheelchairs (Sta… Accepts assignmentParticipating since Mar 30, 2005

National Provider Directory

National Provider Directory

Locations

1 Rose St
Willingboro, NJ 08046
Phone (609) 877-7600

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1114066966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROSE ST",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462537",
            "telephone_number": "609-877-7600",
            "fax_number": "609-877-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSE ST",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462537",
            "telephone_number": "609-877-7600",
            "fax_number": "609-877-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHJI PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-877-7600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02377800",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "28RS00649600",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00649600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067423",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3104003",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067415",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eastpark pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.