Devaria LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DEVARIA LLC

Practice address

7000 Kennedy Blvd E Ste M-7
West New York, NJ 07093-4825

Phone

(201) 453-0555

NPI assigned

Jun 21, 2021

Organization subpart

No

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

Authorized official

Name

Haresh Khambhati

Title

Owner

Phone

(201) 453-0555

Specialties & licenses 1

Addresses

Other names 2

• THE GALAXY DRUG STORE Doing business as
• MAKS PHARMACY INC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dhaval Khambhati

  • Pharmacist
  • Cincinnati, OH
  • NPI 1730435215
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1144899634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 KENNEDY BLVD E STE M-7",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070934825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 KENNEDY BLVD E STE M-7",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070934825",
            "telephone_number": "201-453-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVARIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "KHAMBHATI",
        "authorized_official_first_name": "HARESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-453-0555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GALAXY DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAKS PHARMACY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Maria Giuseppina Dibiase, APN-C
• Marysol Diego, RPH, PHARMD

• Community/Retail Pharmacy in West New York, NJ
• Providers in West New York, 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 Jun 21, 2021; 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.