Organization Active NPI

Super Health Pharmacy NJ LLC

Doing business as Super Health Pharmacy

  • Community/Retail Pharmacy
  • Linden, NJ
National Provider Identifier
1467016006
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SUPER HEALTH PHARMACY NJ LLC
Doing business as
Super Health Pharmacy
Practice address
651 N Stiles St
Linden, NJ 07036-5759
Phone
(908) 718-5459
Fax
(908) 718-5760
NPI assigned
Apr 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Mr. Parthiv Shah
Title
Pharmacist
Phone
(908) 718-5459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

651 N Stiles St
Linden, NJ 07036-5759

Mailing address

651 N Stiles St
Linden, NJ 07036-5759
Phone (908) 718-5459

Other names 1

  • SUPER HEALTH 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
O20190722001846 NJ Part B Supplier - Pharmacy 0446586952 Practice locations: Linden, NJ
O20210412001515 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 0446586952 Practice locations: Linden, NJ

National Provider Directory

National Provider Directory
Tax ID family
Super Health Pharmacy2 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

651 N Stiles St
Linden, NJ 07036
Phone (908) 486-4371

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1467016006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N STILES ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365759",
            "telephone_number": "908-718-5459",
            "fax_number": "908-718-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N STILES ST",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365759",
            "telephone_number": "908-718-5459",
            "fax_number": "908-718-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER HEALTH PHARMACY NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARTHIV",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "908-718-5459",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPER HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.