Organization Active NPI

Parsippany Pharmacy LLC

Doing business as Parsippany Pharmacy

  • Community/Retail Pharmacy
  • Parsippany, NJ
National Provider Identifier
1518396324
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00729000 Issued in NJ
Legal business name
PARSIPPANY PHARMACY LLC
Doing business as
Parsippany Pharmacy
Practice address
1236 Route 46
Parsippany, NJ 07054-2159
Phone
(973) 917-3850
Fax
(973) 917-3253
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Sreedhar Vajinepalli
Title
President
Phone
(973) 917-3850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00729000 NJ Primary

Addresses

Primary practice location

1236 Route 46
Parsippany, NJ 07054-2159

Mailing address

1236 Route 46
Parsippany, NJ 07054-2159
Phone (973) 917-3850

Other identifiers 1

IdentifierTypeStateIssuer
2142864OtherPK

Other names 1

  • PARSIPPANY PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140725000183 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 9335379395 Practice locations: Parsippany, NJ

National Provider Directory

National Provider Directory

Locations

1236 US Highway 46
Parsippany, NJ 07054
Phone (973) 917-3195

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1518396324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 ROUTE 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542159",
            "telephone_number": "973-917-3850",
            "fax_number": "973-917-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 ROUTE 46",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070542159",
            "telephone_number": "973-917-3850",
            "fax_number": "973-917-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARSIPPANY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "VAJINEPALLI",
        "authorized_official_first_name": "SREEDHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-917-3850"
    },
    "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": "28RS00729000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142864",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARSIPPANY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.