Madison Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00660100 Issued in NJ

Legal business name

MADISON PHARMACY INC

Doing business as

Park Madison Pharmacy

Practice address

400 W Front St
Plainfield, NJ 07060-1120

Phone

(908) 412-1333

Fax

(908) 412-6555

NPI assigned

May 18, 2006

Last updated

Aug 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madhu Rachamallu

Title

Owner

Phone

(908) 412-1333

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PARK MADISON PHARMACY Doing business as

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1154374338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W FRONT ST",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601120",
            "telephone_number": "908-412-1333",
            "fax_number": "908-412-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W FRONT ST",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601120",
            "telephone_number": "908-412-1333",
            "fax_number": "908-412-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "RACHAMALLU",
        "authorized_official_first_name": "MADHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-412-1333"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00660100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0208515",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2055932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK MADISON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet C Lin, MD
• Azizah Tahira Lloyd
• Lokhat Physicians Group LLC
• Olayinka Oluwabukola Lowe, APN
• Kelly Macdonald, LSW
• Naidelyn M Madrid
• Robert Ryan Manetta, PHARM D., RPH
• Paul Maranski, LAMFT
• Laura Martin
• Rhonda Mathis, ATR-BC, LPC

• Community/Retail Pharmacy in Plainfield, NJ
• Providers in Plainfield, 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 18, 2015; 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.