Planet Health Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00391000 Issued in NJ

Legal business name

PLANET HEALTH PHARMACY CORP

Doing business as

Preston Drugs & Surgicals

Practice address

127 Hawkins PL
Boonton, NJ 07005-1127

Phone

(973) 334-3460

Fax

(973) 334-2019

NPI assigned

Sep 21, 2011

Last updated

Jan 18, 2024By 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

Maulik ShahNPI 1609194166

Title

Pharmacist in-Charge

Phone

(973) 334-3460

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRESTON DRUGS & SURGICALS Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Planet Health Pharmacy Corp2 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.

• Planet Health Pharmacy Corp

  dba Preston Drugs & Surgicals

  • Long Term Care Pharmacy
  • Boonton, NJ
  • NPI 1164283990
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Madura RX LLC

  dba Madura Pharmacy

  • Pharmacy
  • South Amboy, NJ
  • NPI 1861867038

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Maulik V Shah

  • Pharmacist
  • Iselin, NJ
  • NPI 1609194166
  NPD Authorized official
• Vincent Joshua Calma, PHARMD

  • Pharmacist
  • Boonton, NJ
  • NPI 1548051626
  NPD
• Rushank Shukla, RPH

  • Pharmacist
  • Boonton, NJ
  • NPI 1659905875
  NPD
• Leonard I Kaplan, R.P.H.

  • Pharmacist
  • Boonton, NJ
  • NPI 1417271081
  NPD (past)
• Shray Jay Patel, RPH

  • Pharmacist
  • Boonton, NJ
  • NPI 1780149781
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1386927895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 HAWKINS PL",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051127",
            "telephone_number": "973-334-3460",
            "fax_number": "973-334-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HAWKINS PL",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051127",
            "telephone_number": "973-334-3460",
            "fax_number": "973-334-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET HEALTH PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MAULIK",
        "authorized_official_title_or_position": "PHARMACIST IN-CHARGE",
        "authorized_official_telephone_number": "973-334-3460"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00391000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3198175",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESTON DRUGS & SURGICALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin D Pinckney-St. John, LSW
• Serina Pino
• Melissa Piscitelli, LPC, LCADC
• Susannah Kate Pitman, C.A.
• Planet Health Pharmacy Corp (Preston Drugs & Surgicals)
• Jessica Platt, PH.D.
• Venkata Jaswitha Sree Ponnapalli, M.B.B.S
• Jahnavi Poothalpet, MD
• Pope Kirolos RX LLC (Main Pharmacy)
• Donna Tasco Poplawski, NP

• Community/Retail Pharmacy in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.