NPIMap

Organization Active NPI

Fanwood RX Corp

  • Long Term Care Pharmacy
  • Fanwood, NJ
National Provider Identifier
1225901374
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
FANWOOD RX CORP
Practice address
45 S Martine Ave
Fanwood, NJ 07023-1216
Phone
(908) 680-6936
Fax
(908) 680-6937
NPI assigned
Sep 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Mitul P Patel, PHARMDNPI 1376827154
Title
Owner
Phone
(908) 680-6936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

45 S Martine Ave
Fanwood, NJ 07023-1216

Mailing address

1 Ted Light Way
Piscataway, NJ 08854-5094
Phone (908) 680-6936

Other names 1

  • Fanwood Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fanwood Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1225901374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TED LIGHT WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545094",
            "telephone_number": "908-680-6936",
            "fax_number": "908-680-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MARTINE AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231216",
            "telephone_number": "908-680-6936",
            "fax_number": "908-680-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANWOOD RX CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-680-6936",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fanwood Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.