Active NPI
Godhani Inc
- Pharmacy
- Paterson, NJ
National Provider Identifier
1124102983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00366800
- Legal business name
- GODHANI INC
- Practice address
- 87 Main St
Paterson, NJ 07505 - Phone
- (973) 279-5510
- Fax
- (973) 279-1234
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bhanu M Godhani, RPH
- Title
- Pharmacist
- Phone
- (973) 279-5510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 28RS00366800 | NJ | Primary |
Addresses
Primary practice location
87 Main St
Paterson, NJ 07505
Mailing address
87 Main St
Paterson, NJ 07505
Phone (973) 279-5510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4363906 | Medicaid | NJ |
Other names 1
- Main Fair Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930067177 | NJ | DME Supplier - Pharmacy | 3779609441 | Practice locations: Paterson, NJ |
| O20230427001597 | NJ | Part B Supplier - Pharmacy | 3779609441 | Practice locations: Paterson, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Godhani Inc | Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
87 Main St
Paterson, NJ 07505
Phone (973) 279-5510
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Pontiac, MI
- NPI 1831711662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1124102983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07505",
"telephone_number": "973-279-5510",
"fax_number": "973-279-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 MAIN ST",
"city": "PATERSON",
"state": "NJ",
"postal_code": "07505",
"telephone_number": "973-279-5510",
"fax_number": "973-279-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GODHANI INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "GODHANI",
"authorized_official_first_name": "BHANU",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "973-279-5510",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RS00366800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4363906",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Main Fair Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.