Organization Active NPI

B.Radhakrishnan Ta Zajacs Pharmacy

  • Community/Retail Pharmacy
  • New Brunswick, NJ
National Provider Identifier
1528109949
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
B.RADHAKRISHNAN TA ZAJACS PHARMACY
Practice address
223 George St # 225
New Brunswick, NJ 08901-1318
Phone
(732) 545-0582
Fax
(732) 545-0583
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Authorized official

Name
Mr. Balakachetty Radhakrishnan, B.S
Title
Pharmacist Manager
Phone
(732) 545-0582

Specialties & licenses 1

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

Addresses

Primary practice location

223 George St # 225
New Brunswick, NJ 08901-1318

Mailing address

223 George St # 225
New Brunswick, NJ 08901-1318
Phone (732) 545-0582

Other identifiers 2

IdentifierTypeStateIssuer
0724106OtherNJDME
4396804MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930042294 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7719006568 Practice locations: New Brunswick, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Zajacs Pharmacy223 George St, New Brunswick, NJ 08901(732) 545-0582 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Orthos… Does not accept assignmentParticipating since Apr 18, 2002

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1528109949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 GEORGE ST # 225",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011318",
            "telephone_number": "732-545-0582",
            "fax_number": "732-545-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 GEORGE ST # 225",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011318",
            "telephone_number": "732-545-0582",
            "fax_number": "732-545-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.RADHAKRISHNAN TA ZAJACS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "RADHAKRISHNAN",
        "authorized_official_first_name": "BALAKACHETTY",
        "authorized_official_title_or_position": "PHARMACIST MANAGER",
        "authorized_official_telephone_number": "732-545-0582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0724106",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4396804",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.