Active NPI
Maplewood Chemists, Inc
Doing business as Town & Country Pharmacy
- Community/Retail Pharmacy
- Maplewood, NJ
National Provider Identifier
1194716548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00688100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3130464 | Other | NCPDP | |
| 0220663 | Medicaid | NJ |
Other names 1
- TOWN & COUNTRY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Town & Country Pharmacy
- Long Term Care Pharmacy
- Maplewood, NJ
- NPI 1194503037
-
dba Town & Country Pharmacy
- Durable Medical Equipment & Medical Supplies
- Maplewood, NJ
- NPI 1689193187
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
- David M Mahalick, PH.D.
- Stephanie Manes, LMSW
- Sarah John Manges, LCSW
- Natasha Nickole Manning, PH.D., LPC
- Maplewood Chemists, Inc (Town & Country Pharmacy)
- Maplewood Chemists, Inc (Town & Country Pharmacy)
- Maplewood Lactation LLC
- Maplewood Medical Associates, P.a.
- Maplewood Village Pharmacy LLC
- Maplewood Vision Care, LLC
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.