Ipsn Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

IPSN PHARMACY LLC

Practice address

75 1St St
Newark, NJ 07107-3101

Phone

(973) 900-6990

Fax

(973) 900-6992

NPI assigned

Apr 29, 2021

Organization subpart

No

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

Authorized official

Name

Sripriya NandiNPI 1033885868

Title

Managing Member

Phone

(973) 900-6990

Specialties & licenses 1

Addresses

Other names 1

• MEDAMOR PHARMACY DEPT. Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Sripriya Nandi

  • Pharmacist
  • Newark, NJ
  • NPI 1033885868
  NPD Authorized official

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1194308080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 1ST ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073101",
            "telephone_number": "973-900-6990",
            "fax_number": "973-900-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 1ST ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073101",
            "telephone_number": "973-900-6990",
            "fax_number": "973-900-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPSN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "NANDI",
        "authorized_official_first_name": "SRIPRIYA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-900-6990"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDAMOR PHARMACY DEPT.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Inwood, M.D.
• Madalina Elena Iorgulescu, DMD
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• CHI Fung Ip, DMD
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• Iron Bound Ambulance Squad, Inc.
• Ironbound Community Corporation

• Community/Retail Pharmacy in Newark, NJ
• Providers in Newark, 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 31, 2021; 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.