Organization Active NPI

NJP RX L L C

  • Community/Retail Pharmacy
  • Tracy, CA
National Provider Identifier
1508560046
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NJP RX L L C
Practice address
550 W Eaton Ave Ste B
Tracy, CA 95376-3462
Phone
(209) 831-2050
Fax
(209) 831-3295
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Nisarg Harshadkumar Patel, RPHNPI 1225311483
Title
Managing Member
Phone
(530) 720-2169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

550 W Eaton Ave Ste B
Tracy, CA 95376-3462

Mailing address

348 W Grant Line Rd Ste a
Tracy, CA 95376-2597
Phone (209) 831-2050

Other names 1

  • TRACY CARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230629000708 CA Part B Supplier - Pharmacy 2961861638 Practice locations: Tracy, CA

National Provider Directory

National Provider Directory
Tax ID family
NJP RX L L C2 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

348 W Grant Line Rd
Ste A
Tracy, CA 95376
Phone (209) 831-2050

550 W Eaton Ave
Ste B
Tracy, CA 95376
Phone (209) 831-2050

Practitioners & affiliated clinicians

Practitioners 1

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1508560046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 W GRANT LINE RD STE A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762597",
            "telephone_number": "209-831-2050",
            "fax_number": "209-831-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W EATON AVE STE B",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763462",
            "telephone_number": "209-831-2050",
            "fax_number": "209-831-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJP RX L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NISARG",
        "authorized_official_middle_name": "HARSHADKUMAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "530-720-2169",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRACY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRACY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.