Gauri Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00709800 Issued in NJ

Legal business name

GAURI PHARMACY INC

Practice address

530 Westfield Ave FL 1
Elizabeth, NJ 07208-1623

Phone

(908) 469-4061

Fax

(908) 469-4063

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Umesh PatelNPI 1023675196

Title

VP/Staff RPH

Phone

(201) 887-4405

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTH BROAD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

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

• Umesh Patel, RPH

  • Pharmacist
  • East Orange, NJ
  • NPI 1023675196
  NPD (past) Authorized official
• Maria Del Carmen Cisnero, M.D

  • Family Medicine Physician
  • Elizabeth, NJ
  • NPI 1366617334
  NPD (past)
• Rajen S Patel

  • Pharmacist
  • Elizabeth, NJ
  • NPI 1679155089
  NPD (past)
• Carlos R Perez, MD

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1942791728
  NPD (past)
• Maria del Carmen Perez, MD

  • Internal Medicine Physician
  • Elizabeth, NJ
  • NPI 1225787625
  NPD (past)
• Raul Iluminado Perez, M.D

  • Family Medicine Physician
  • Elizabeth, NJ
  • NPI 1003081076
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1497050694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 OLIVER RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523729",
            "telephone_number": "201-887-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WESTFIELD AVE FL 1",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081623",
            "telephone_number": "908-469-4061",
            "fax_number": "908-469-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURI PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UMESH",
        "authorized_official_title_or_position": "VP/STAFF RPH",
        "authorized_official_telephone_number": "201-887-4405"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00709800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279293",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3197591",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH BROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH BROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anshu Goyal Garg, M.D.
• Shubham Garg, MD
• Vipin Garg, M.D.
• Benedict Nagar Garma, MD
• Alize Y Garner
• Jaya Lakshmi Gavini, M.D
• Ebenezer Oluseye Gbaroye
• Sensas-Flores Gelin
• Geller'S Village Drugs Inc
• Kirstin Anne Gelmi

• Community/Retail Pharmacy in Elizabeth, NJ
• Providers in Elizabeth, 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 Sep 1, 2022; 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.