Medical Mall RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00191200 Issued in NJ

Legal business name

MEDICAL MALL RX INC

Practice address

9 Hospital Dr Ste B3
Toms River, NJ 08755-6425

Phone

(732) 244-4747

Fax

(732) 244-4873

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Parthiv Shah

Title

Owner

Phone

(732) 244-4747

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medical Mall Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Practitioners 1

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

• Tushar G Patel, RPH

  • Pharmacist
  • Toms River, NJ
  • NPI 1982851267
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1235140757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-244-4747",
            "fax_number": "732-244-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-244-4747",
            "fax_number": "732-244-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MALL RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARTHIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-244-4747"
    },
    "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": "28RS00191200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0482595",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Mall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert T McTaggart, D.M.D.
• Patricia McTaggert, PA
• Kathleen B Mead, LCSW
• Lauren Measure
• Medical Care on Wheels LLC
• Medical Mall RX Inc
• Medical Radiology Group PA
• Medical Wigs Inc
• Yusra Betul Medik, MD
• Florencia Medina-Godoy, LSW

• Community/Retail Pharmacy in Toms River, NJ
• Providers in Toms River, 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 Oct 3, 2016; 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.