Devaria LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00523900 Issued in NJ

Legal business name

DEVARIA LLC

Doing business as

The galaxy drug store

Practice address

7000 Kennedy Blvd E
M-7
Guttenberg, NJ 07093

Phone

(201) 453-0555

Fax

(201) 453-0550

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Haresh Khambhati

Title

Owner

Phone

(201) 453-0555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• The galaxy drug store Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Dhaval Khambhati

  • Pharmacist
  • Cincinnati, OH
  • NPI 1730435215
  NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1376688010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 KENNEDY BLVD E",
            "address_2": "M-7",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-453-0555",
            "fax_number": "201-453-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 KENNEDY BLVD E",
            "address_2": "M-7",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-453-0555",
            "fax_number": "201-453-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVARIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "KHAMBHATI",
        "authorized_official_first_name": "HARESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-453-0555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NJ",
            "license": "28RS00523900",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The galaxy drug store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The galaxy drug store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leonel Cordova, MD
• Natalie Correa, LMHC
• Felix Dailey-Sterling, M.D.
• Ivette Dauhajre, D.D.S.
• Teofilo A Dauhajre Jr., MD
• Dr Teofilo a Douhajre Jr PA
• Ea Batelli DPM LLC
• Enlightenment Entrepreneurial Enterprises Inc. (GYMGUYZ of Bergen County, Gold Coast, North Hudson)
• Steven Brian Epstein, MD
• Lissette Lorena Escobales, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.