Active NPI
U-Pharm Inc
- Community/Retail Pharmacy
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28RS00365300
- Legal business name
- U-PHARM INC
- Practice address
- 828 Clifton Ave
Clifton, NJ 07013-1816 - Phone
- (973) 473-4000
- Fax
- (973) 473-4002
- NPI assigned
- Aug 31, 2006
- Last updated
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Walter Voinov, R.PH.
- Title
- President Pharmacist-in-Charge
- Phone
- (973) 473-4000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 28RS00365300 | NJ | Primary |
Addresses
Primary practice location
828 Clifton Ave
Clifton, NJ 07013-1816
Mailing address
828 Clifton Ave
Clifton, NJ 07013-1816
Phone (973) 473-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4362101 | Medicaid | NJ | |
| 3126807 | Other | NABP # |
Other names 1
- colonial pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930071664 | NJ | DME Supplier - Pharmacy | 7113045105 | Practice locations: Clifton, NJ |
| O20181107001318 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 7113045105 | Practice locations: Clifton, NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Colonial Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
828 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-4000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Clifton, NJ
- NPI 1487756128
-
- Pharmacist
- Clifton, NJ
- NPI 1407981145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1568573376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131816",
"telephone_number": "973-473-4000",
"fax_number": "973-473-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131816",
"telephone_number": "973-473-4000",
"fax_number": "973-473-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U-PHARM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "VOINOV",
"authorized_official_first_name": "WALTER",
"authorized_official_title_or_position": "PRESIDENT PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "973-473-4000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NJ",
"license": "28RS00365300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4362101",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP #",
"identifier": "3126807",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "colonial pharmacy",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.