Active NPI
Clifton Drugs LLC
- Community/Retail Pharmacy
- Clifton, NJ
National Provider Identifier
1386271989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CLIFTON DRUGS LLC
- Practice address
- 859 Clifton Ave
Clifton, NJ 07013-1715 - Phone
- (973) 685-7900
- NPI assigned
- Mar 24, 2020
- 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
- Vishal Desai
- Title
- Pharmacist in Charge
- Phone
- (973) 685-7900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
859 Clifton Ave
Clifton, NJ 07013-1715
Mailing address
859 Clifton Ave
Clifton, NJ 07013-1715
Phone (973) 685-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RS00284800 | Other | NJ | BOARD OF 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 |
|---|---|---|---|---|
| O20200708002544 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224451356 | Practice locations: Clifton, NJ |
| O20200708002985 | NJ | DME Supplier - Pharmacy | 8224451356 | Practice locations: Clifton, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Clifton Drugs LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Clifton, NJ
- NPI 1669318325
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Clifton, NJ
- NPI 1194325209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585008000000",
"number": "1386271989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131715",
"telephone_number": "973-685-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131715",
"telephone_number": "973-685-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFTON DRUGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-24",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "VISHAL",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "973-685-7900"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "28RS00284800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.