Organization Active NPI

Sanford Community Pharmacy LLC

Doing business as Sanford Pharmacy

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1457334112
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00624800 Issued in NJ
Legal business name
SANFORD COMMUNITY PHARMACY LLC
Doing business as
Sanford Pharmacy
Practice address
1041 S Orange Ave
Newark, NJ 07106-1716
Phone
(973) 351-0099
Fax
(973) 351-9105
NPI assigned
Nov 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Paresh Gandhi
Title
Owner
Phone
(646) 417-3844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00624800 NJ Primary

Addresses

Primary practice location

1041 S Orange Ave
Newark, NJ 07106-1716

Mailing address

1 Commanders CT
Totowa, NJ 07512-2197
Phone (973) 351-0099

Other identifiers 1

IdentifierTypeStateIssuer
2162252OtherPK

Other names 1

  • Sanford Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1457334112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMANDERS CT",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122197",
            "telephone_number": "973-351-0099",
            "fax_number": "973-351-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071061716",
            "telephone_number": "973-351-0099",
            "fax_number": "973-351-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD COMMUNITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-26",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "PARESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-417-3844"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00624800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.