Essgee Alpha Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00676100 Issued in NJ

Legal business name

ESSGEE ALPHA CORP

Doing business as

Alpha Pharmacy

Practice address

1596 3Rd Ave
Alpha, NJ 08865

Phone

(908) 454-4362

Fax

(908) 454-9029

NPI assigned

Aug 29, 2006

Last updated

Apr 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sreedhar Vajinepalli

Title

President

Phone

(443) 528-1008

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ALPHA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1215046040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 3RD AVE",
            "city": "ALPHA",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-454-4362",
            "fax_number": "908-454-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 3RD AVE",
            "city": "ALPHA",
            "state": "NJ",
            "postal_code": "08865",
            "telephone_number": "908-454-4362",
            "fax_number": "908-454-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSGEE ALPHA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "VAJINEPALLI",
        "authorized_official_first_name": "SREEDHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-528-1008"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00676100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3103532",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154938",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPHA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Alpha, NJ
• Providers in Alpha, 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 Apr 24, 2012; 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.