Organization Active NPI

Rachit Drug Incorporated

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1154591485
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00429100 Issued in NJ
Legal business name
RACHIT DRUG INCORPORATED
Practice address
233 Lyons Ave
Newark, NJ 07112-1737
Phone
(973) 926-0191
Fax
(973) 923-2797
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Mr. Kiran P Dalal, R PH
Title
Pharmacist
Phone
(973) 926-0191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00429100 NJ Primary

Addresses

Primary practice location

233 Lyons Ave
Newark, NJ 07112-1737

Mailing address

233 Lyons Ave
Newark, NJ 07112-1737
Phone (973) 926-0191

Other identifiers 1

IdentifierTypeStateIssuer
4407601MedicaidNJ

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930053800 NJ DME Supplier - Pharmacy 1951422377 Practice locations: Newark, NJ
O20210309002881 NJ Part B Supplier - Pharmacy 1951422377 Practice locations: Newark, 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
Rachit Drug Incorporated233 Lyons Ave, Newark, NJ 07112-1737(973) 926-0191 Canes and/or Crutches Does not accept assignmentParticipating since Jan 1, 2006

National Provider Directory

National Provider Directory

Locations

233 Lyons Ave
Newark, NJ 07112
Phone (973) 926-0191

Practitioners & affiliated clinicians

Practitioners 2

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": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1154591485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121737",
            "telephone_number": "973-926-0191",
            "fax_number": "973-923-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071121737",
            "telephone_number": "973-926-0191",
            "fax_number": "973-923-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHIT DRUG INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "973-926-0191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00429100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4407601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 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.