Organization Active NPI

Sohum RX LLC

Doing business as Westside Pharmacy

  • Pharmacy
  • Trenton, NJ
National Provider Identifier
1235283573
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
28RS00662600 Issued in NJ
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0125156MedicaidNJ

Other names 1

  • Westside Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 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.

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.

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.

Verify at the official NPI Registry.