Organization Active NPI

Puja Pharmacy LLC

Doing business as West Orange Family Pharmacy

  • Community/Retail Pharmacy
  • West Orange, NJ
National Provider Identifier
1447590161
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00724700 Issued in NJ
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3199406OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • West Orange Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLC2 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.

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.

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.

Verify at the official NPI Registry.