Organization Active NPI

Maplewood Chemists, Inc

Doing business as Town & Country Pharmacy

  • Community/Retail Pharmacy
  • Maplewood, NJ
National Provider Identifier
1194716548
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00688100 Issued in NJ
Legal business name
MAPLEWOOD CHEMISTS, INC
Doing business as
Town & Country Pharmacy
Practice address
747 Irvington Ave
Maplewood, NJ 07040-1607
Phone
(973) 762-2700
Fax
(973) 762-6002
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Mr. Sashi D Dondapati
Title
Pharmacist/V.P
Phone
(973) 762-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00688100 NJ Primary

Addresses

Primary practice location

747 Irvington Ave
Maplewood, NJ 07040-1607

Mailing address

747 Irvington Ave
Maplewood, NJ 07040-1607
Phone (973) 762-2700

Other identifiers 2

IdentifierTypeStateIssuer
3130464OtherNCPDP
0220663MedicaidNJ

Other names 1

  • TOWN & COUNTRY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100617000002 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9830229947 Practice locations: Maplewood, NJ
O20100930099242 NJ DME Supplier - Pharmacy 9830229947 Practice locations: Maplewood, NJ
O20201214001516 NJ Part B Supplier - Pharmacy 9830229947 Practice locations: Maplewood, NJ

National Provider Directory

National Provider Directory
Tax ID family
Maplewood Chemists Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1194716548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 IRVINGTON AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401607",
            "telephone_number": "973-762-2700",
            "fax_number": "973-762-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 IRVINGTON AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401607",
            "telephone_number": "973-762-2700",
            "fax_number": "973-762-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD CHEMISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "DONDAPATI",
        "authorized_official_first_name": "SASHI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACIST/V.P",
        "authorized_official_telephone_number": "973-762-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00688100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3130464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220663",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN & COUNTRY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.