Quick Mart Pharmacy & Convenience LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00361000 Issued in NJ

Legal business name

QUICK MART PHARMACY & CONVENIENCE LLC

Doing business as

Quick Mart Pharmacy

Practice address

100 Ryders LN
Milltown, NJ 08850-1263

Phone

(732) 745-7222

Fax

(732) 545-4402

NPI assigned

Feb 22, 2007

Last updated

Nov 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alok Patel

Title

Owner

Phone

(732) 745-7222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• QUICK MART PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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.

• Ritesh D Patel

  • Pharmacist
  • Milltown, NJ
  • NPI 1356921886
  NPD
• Diane Jean Ivanov, LCSW

  • Clinical Social Worker
  • Milltown, NJ
  • NPI 1932183100
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1366577405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RYDERS LN",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501263",
            "telephone_number": "732-745-7222",
            "fax_number": "732-545-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RYDERS LN",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501263",
            "telephone_number": "732-745-7222",
            "fax_number": "732-545-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK MART PHARMACY & CONVENIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-745-7222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00361000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145524",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUICK MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Platinum Hearts a NJ Non-Profit Corporation
• Platinum Hearts a NJ Nonprofit Corporation
• Andrea Karr Pompliano
• Kasthuri Pothiraj, MD
• Quick Mart Pharmacy & Convenience LLC
• Quick Mart Pharmacy and Convenience LLC (Quick Mart Pharmacyu and Convenience)
• Robert Richard Rickards, DMD
• Tracy Ryan
• S.N. Family Dental Center II
• Bonito Y Sanchez, MD

• Pharmacy in Milltown, NJ
• Providers in Milltown, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.