Organization Active NPI

Drugsmart Pharmacy LLC

Doing business as DrugSmart Pharmacy

  • Community/Retail Pharmacy
  • Keansburg, NJ
National Provider Identifier
1164736914
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00705600 Issued in NJ
Legal business name
DRUGSMART PHARMACY LLC
Doing business as
DrugSmart Pharmacy
Practice address
300 Main St
Keansburg, NJ 07734-2033
Phone
(732) 769-5550
Fax
(732) 769-5549
NPI assigned
Aug 4, 2010
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Keyur Shah, RPH
Title
President
Phone
(732) 769-5550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28RS00705600 NJ Primary

Addresses

Primary practice location

300 Main St
Keansburg, NJ 07734-2033

Mailing address

300 Main St
Keansburg, NJ 07734-2033
Phone (732) 769-5550

Other identifiers 2

IdentifierTypeStateIssuer
2125974OtherPK
0246735MedicaidNJ

Other names 1

  • DrugSmart Pharmacy Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101210000219 NJ DME Supplier - Pharmacy 5092902445 Practice locations: Keansburg, NJ
O20210902000881 NJ Part B Supplier - Pharmacy 5092902445 Practice locations: Keansburg, NJ

National Provider Directory

National Provider Directory

Locations

300 Main St
Keansburg, NJ 07734
Phone (732) 769-5550

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1164736914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077342033",
            "telephone_number": "732-769-5550",
            "fax_number": "732-769-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "KEANSBURG",
            "state": "NJ",
            "postal_code": "077342033",
            "telephone_number": "732-769-5550",
            "fax_number": "732-769-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUGSMART PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-04",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KEYUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-769-5550",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00705600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125974",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0246735",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DrugSmart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DrugSmart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keansburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.