Organization Active NPI

Pinnacle Healthcare LLC

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1124166509
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00645100 Issued in NJ
Legal business name
PINNACLE HEALTHCARE LLC
Practice address
36 Park Ave
Newark, NJ 07104-1367
Phone
(973) 412-1000
Fax
(973) 412-1983
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Kajal Viradia
Title
Owner
Phone
(201) 993-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00645100 NJ Primary

Addresses

Primary practice location

36 Park Ave
Newark, NJ 07104-1367

Mailing address

36 Park Ave
Newark, NJ 07104-1367
Phone (973) 412-1000

Other identifiers 1

IdentifierTypeStateIssuer
3192553OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • AMCARE RX PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1124166509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PARK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041367",
            "telephone_number": "973-412-1000",
            "fax_number": "973-412-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 PARK AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071041367",
            "telephone_number": "973-412-1000",
            "fax_number": "973-412-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "VIRADIA",
        "authorized_official_first_name": "KAJAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-993-2221"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00645100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3192553",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMCARE RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.