Passaic Valley Medical Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00740700 Issued in NJ

Legal business name

PASSAIC VALLEY MEDICAL PHARMACY LLC

Practice address

1225 McBride Ave
Suite 112
Woodland Park, NJ 07424-3812

Phone

(973) 256-0222

Fax

(973) 256-4222

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Anush Amin

Title

President

Phone

(973) 256-0222

Specialties & licenses 1

Addresses

Other names 1

• Apotheco North Jersey Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Merve Awwal

  • Pharmacist
  • Woodland Park, NJ
  • NPI 1831069830
  NPD (past)
• Daniel Lee

  • Pharmacist
  • Woodland Park, NJ
  • NPI 1992665228
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1215316641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE STE 112",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243813",
            "telephone_number": "973-256-0222",
            "fax_number": "973-256-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MCBRIDE AVE",
            "address_2": "SUITE 112",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074243812",
            "telephone_number": "973-256-0222",
            "fax_number": "973-256-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC VALLEY MEDICAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "ANUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-256-0222"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00740700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apotheco North Jersey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Basilisa Pacheco, ANP-BC
• Hayley Pann
• Jai G Parekh, M.D.
• Swati Jai Parekh, M.D.
• Partners for Hope
• Diviesh Patel, RPH
• Preet Patel, PHARMD
• George Pavlou, M.D.
• Pediatric Therapy Consultants
• Peter F. Dipaolo, MD, PA

• Community/Retail Pharmacy in Woodland Park, NJ
• Providers in Woodland Park, 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 May 28, 2026; 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.