Active NPI
Puja Pharmacy LLC
Doing business as West Orange Family Pharmacy
- Community/Retail Pharmacy
- West Orange, NJ
National Provider Identifier
1447590161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00724700
- Legal business name
- PUJA PHARMACY LLC
- Doing business as
- West Orange Family Pharmacy
- Practice address
- 310 Main St
West Orange, NJ 07052-5628 - Phone
- (973) 325-1020
- Fax
- (862) 252-9450
- NPI assigned
- Feb 15, 2013
- Last updated
- Jan 26, 2024
- 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
- Umesh Patel
- Title
- Owner
- Phone
- (973) 325-1020
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 28RS00724700 | NJ | Primary |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
310 Main St
West Orange, NJ 07052-5628
Mailing address
310 Main St
West Orange, NJ 07052-5628
Phone (973) 325-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3199406 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- West Orange Family 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 |
|---|---|---|---|---|
| O20131107000129 | NJ | DME Supplier - Pharmacy | 9638304298 | Practice locations: West Orange, NJ |
| O20171018002487 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 9638304298 | Practice locations: West Orange, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Puja Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba West Orange Family Pharmacy
- Long Term Care Pharmacy
- West Orange, NJ
- NPI 1164224580
Locations
443 Main St
West Orange, NJ 07052
Phone (973) 232-5102
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Pharmacist
- Parsippany, NJ
- NPI 1316071194
-
- Pharmacist
- West Orange, NJ
- NPI 1639493091
-
- Pharmacist
- West Orange, NJ
- NPI 1902120363
-
- Pharmacy Technician
- West Orange, NJ
- NPI 1992029359
-
- Pharmacy Technician
- West Orange, NJ
- NPI 1801110267
-
- Pharmacist
- Union City, NJ
- NPI 1205209806
-
- Pharmacist
- West Orange, NJ
- NPI 1285958645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1447590161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070525628",
"telephone_number": "973-325-1020",
"fax_number": "862-252-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 MAIN ST",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070525628",
"telephone_number": "973-325-1020",
"fax_number": "862-252-9450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUJA PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-15",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "UMESH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-325-1020"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00724700",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3199406",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West Orange Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.