Union Square Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00554600 Issued in NJ

Legal business name

UNION SQUARE PHARMACY

Doing business as

MABEL'S PHARMACY

Practice address

809 Elizabeth Ave
Elizabeth, NJ 07201-2708

Phone

(908) 353-6900

Fax

(908) 353-5807

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Satyapal Reddy Pareddy, M.S.,R.PH

Title

Supervising Pharmacist

Phone

(908) 353-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MABEL'S PHARMACY Doing business as

Locations

Practitioners 1

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

• Chandrashekhar Deshpande

  • Pharmacist
  • Elizabeth, NJ
  • NPI 1568810182
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1538207998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012708",
            "telephone_number": "908-353-6900",
            "fax_number": "908-353-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012708",
            "telephone_number": "908-353-6900",
            "fax_number": "908-353-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION SQUARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "PAREDDY",
        "authorized_official_first_name": "SATYAPAL",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "908-353-6900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.,R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00554600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7561407",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MABEL'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Union County Healthcare Associates LLC
• Union County Healthcare Associates LLC
• Union County Infectious Diseases Group
• Union County Pediatrics Group Inc
• Union Square Medical Associates, PC
• United Behavioral Healthcare Clinic LLC
• United Medical Group 1 LLP
• Universal Care Group LLC
• University Medical Professionals LLC
• University Radiology at Trinitas, LLC

• 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 Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.