Organization Active NPI

Malanda Inc

Doing business as Mandells Clinical Pharmacy

  • Specialty Pharmacy
  • Somerset, NJ
National Provider Identifier
1205913597
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
28RS00431800 Issued in NJ
Legal business name
MALANDA INC
Doing business as
Mandells Clinical Pharmacy
Practice address
7 Cedar Grove LN
Somerset, NJ 08873-1331
Phone
(732) 907-6780
Fax
(732) 356-4398
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Authorized official

Name
Terry Malanda, RPH
Title
RPH
Phone
(732) 735-0825

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Mail Order Pharmacy 3336M0002X
Specialty Pharmacy 3336S0011X 28RS00431800 NJ Primary

Addresses

Primary practice location

7 Cedar Grove LN
Somerset, NJ 08873-1331

Mailing address

7 Cedar Grove LN
Somerset, NJ 08873-1331
Phone (732) 907-6780

Other identifiers 2

IdentifierTypeStateIssuer
4410009MedicaidNJ
2051618OtherPK

Other names 1

  • MANDELLS CLINICAL PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

7 Cedar Grove Ln
Ste 24
Somerset, NJ 08873
Phone (732) 907-6780

7 Cedar Grove Ln
Somerset, NJ 08873
Phone (201) 848-4400

7 Cedar Grove Ln
Ste 24B
Somerset, NJ 08873
Phone (732) 907-6780

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1205913597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-907-6780",
            "fax_number": "732-356-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CEDAR GROVE LN",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731331",
            "telephone_number": "732-907-6780",
            "fax_number": "732-356-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALANDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "MALANDA",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "732-735-0825",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00431800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4410009",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051618",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANDELLS CLINICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.