Active NPI
Sohum RX LLC
Doing business as Westside Pharmacy
- Pharmacy
- Trenton, NJ
National Provider Identifier
1235283573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 28RS00662600
- Legal business name
- SOHUM RX LLC
- Doing business as
- Westside Pharmacy
- Practice address
- 215 N Hermitage Ave
Trenton, NJ 08618 - Phone
- (609) 394-0600
- Fax
- (609) 394-5505
- NPI assigned
- Jan 23, 2007
- Last updated
- Jun 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bhaumik Thaker
- Title
- Member, LLC
- Phone
- (609) 394-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 28RS00662600 | NJ | Primary |
Addresses
Primary practice location
215 N Hermitage Ave
Trenton, NJ 08618
Mailing address
215 N Hermitage Ave
Trenton, NJ 08618-5531
Phone (609) 394-0600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125156 | Medicaid | NJ |
Other names 1
- Westside Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181130000526 | NJ | DME Supplier - Pharmacy | 6709133234 | Practice locations: Trenton, NJ |
| O20241009000095 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 6709133234 | Practice locations: Trenton, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Mil-Dan Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
215 N Hermitage Ave
Trenton, NJ 08618
Phone (609) 394-0600
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Howell, NJ
- NPI 1447842489
-
- Pharmacist
- Trenton, NJ
- NPI 1184220261
-
- Pharmacist
- Trenton, NJ
- NPI 1174047450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654819200000",
"number": "1235283573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N HERMITAGE AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "086185531",
"telephone_number": "609-394-0600",
"fax_number": "609-394-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N HERMITAGE AVE",
"city": "TRENTON",
"state": "NJ",
"postal_code": "08618",
"telephone_number": "609-394-0600",
"fax_number": "609-394-5505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOHUM RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A",
"authorized_official_last_name": "THAKER",
"authorized_official_first_name": "BHAUMIK",
"authorized_official_title_or_position": "MEMBER, LLC",
"authorized_official_telephone_number": "609-394-0600"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NJ",
"license": "28RS00662600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125156",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Westside Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.